Clinic of Orthopedic Surgery Chtd
NPI #1437240421 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1437240421
- Entity Type
- Organization
- Organization Name
- Clinic of Orthopedic Surgery Chtd
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Apr 7, 2008
Practice Location
- Address
- 210 WISCONSIN AMERICAN DR
- Address 2
- STE 235
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-2999
- Phone
- (920) 923-0641
Authorized Official
- Name
- ALAN W ROETKER, MD
- Title
- PRESIDENT
- Phone
- (920) 923-0641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery |
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