Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDDIE KIYOSHI BROTKOWSKI, D.D.S., M.D.
ActiveDR. EDDIE KIYOSHI BROTKOWSKI, D.D.S., M.D. is a Oral & Maxillofacial Surgery healthcare provider located in FOND DU LAC, Wisconsin. NPI 1003100470 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · FOND DU LAC, WI
Registration Details
- NPI Number
- 1003100470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 2, 2011 (15.158656785032 yrs)
- Last Updated
- May 6, 2019
- License
-
1001767 (WI)
Practice Information
- Address
-
464 S HICKORY ST STE AFOND DU LAC, WI, 549355531Browse WI providers · Browse ZIP 54935
- Phone
- 9209230111
- Fax
- 9209230366
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in FOND DU LAC, WI
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL EUGENE SCHMIDT JR. | D.D.S. | 1881604718 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.