Dr. Eddie Kiyoshi Brotkowski
Oral and Maxillofacial Surgeon
464 S Hickory St Ste A
Fond du Lac
, Wisconsin 54935-5531
Dr. Eddie Kiyoshi Brotkowski
Oral and Maxillofacial Surgeon
464 S Hickory St Ste A
Fond du Lac
, Wisconsin 54935-5531
(847) 612-3407
Write a Review Share Save Call
About
Features
Specialties
- Oral and Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Eddie Kiyoshi Brotkowski
- 2425 W Kellogg Ave
- West Peoria, IL
- Zip : 61604-5011
- Phone : (847) 612-3407
Second Address
- Dr. Eddie Kiyoshi Brotkowski
- 464 S Hickory St Ste A
- Fond Du Lac, WI
- Zip : 54935-5531
- Fax : (920) 923-0366
- Phone : (920) 923-0111
Reviews
FAQs
Where did Dr. Eddie Kiyoshi Brotkowski attend graduate school?
Where did Dr. Eddie Kiyoshi Brotkowski do his residency?
Where did Dr. Eddie Kiyoshi Brotkowski do his fellowship?
Is Dr. Eddie Kiyoshi Brotkowski board certified?
What type of doctor is Dr. Eddie Kiyoshi Brotkowski
In what state does Dr. Eddie Kiyoshi Brotkowski practice in?
Where is Dr. Eddie Kiyoshi Brotkowski ’s practice located?
What is Dr. Eddie Kiyoshi Brotkowski ’s gender?
Is Dr. Eddie Kiyoshi Brotkowski a sole practitioner?
Is Dr. Eddie Kiyoshi Brotkowski accepting new patients?
What languages does Dr. Eddie Kiyoshi Brotkowski speak?
Does Dr. Eddie Kiyoshi Brotkowski accept insurance?
Does Dr. Eddie Kiyoshi Brotkowski offers telemedicine?
What is Dr. Eddie Kiyoshi Brotkowski ’s professional license number?
What is Dr. Eddie Kiyoshi Brotkowski ’s NPI number?
Does Dr. Eddie Kiyoshi Brotkowski have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 1001767 | WI |
National Provider Identifier
| NPI | 1003100470 |
|---|---|
| Provider Name | Dr. Eddie Kiyoshi Brotkowski |
| First Address | West Peoria, IL 61604-5011 |
| Second Address | Fond Du Lac, WI 54935-5531 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/06/2011 |
| Last Update Date | 06/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.