DR. Eddie Kiyoshi Brotkowski, D.D.S., M.D.
NPI #1003100470 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1003100470
- Entity Type
- Individual
- Name
- DR. Eddie Kiyoshi Brotkowski, D.D.S., M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Credential
- D.D.S., M.D.
- Enumeration Date
- Jun 2, 2011
- Last Updated
- May 6, 2019
Practice Location
- Address
- 464 S HICKORY ST STE A
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-5531
- Phone
- (920) 923-0111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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|---|---|
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