Eddie K Brotkowski (NPI# 1003100470, PAC ID# 7517199219) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1003100470 |
| PAC ID by PECOS | 7517199219 |
| Professional Enrollment ID | I20180620001972 |
| Full Name | Eddie K Brotkowski |
| Address |
464 S Hickory St A Fond Du Lac WI 54935-5531 |
| Gender | M |
| Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 2018 |
| Primary Specialty | ORAL SURGERY |
| Secondary Specialties | MAXILLOFACIAL SURGERY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 464 S Hickory St A, Fond Du Lac, WI 54935-5531 |
| Street Address |
464 S HICKORY ST A |
| City | FOND DU LAC |
| State | WI |
| Zip | 54935-5531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew R Purcell | Anesthesiology | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Ruth A Adene- Peter | Hospitalist | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Nicole A Hostetler | Nurse Practitioner | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Nydia C Ros | Hospitalist | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Cynthia M Griffin | Emergency Medicine | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Kelly M Olsen | Certified Registered Nurse Anesthetist (crna) | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Jennifer I Giesige | Psychiatry | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Abigail I Ruh | Psychologist, Clinical | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Michelle C Pesek Mccoy | Emergency Medicine | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Kristof T Gehrke | Critical Care (intensivists) | Agnesian Healthcare Inc | 430 E Divsion St, Fond Du Lac, WI 54935 |
| Find all physicians in zip 54935 | |||
| City | FOND DU LAC |
| Zip Code | 54935 |
| Specialty | ORAL SURGERY |
| City + Specialty | FOND DU LAC + ORAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.