| Alan W Roetker, MD | |
|
421 Camelot Dr, Fond Du Lac, WI 54935-8335 | |
| (920) 926-8616 | |
| Not Available |
| Full Name | Alan W Roetker |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 421 Camelot Dr, Fond Du Lac, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124119110 | NPI | - | NPPES |
| 31386600 | Medicaid | WI | |
| P00861894 | Other | WI | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 26029 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Alan W Roetker, MD 420 E Division St, Fond Du Lac, WI 54935-4560 Ph: (920) 926-8340 | Alan W Roetker, MD 421 Camelot Dr, Fond Du Lac, WI 54935-8335 Ph: (920) 926-8616 |
Michael R Magoline, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616 Fax: 920-926-8098 | |
Benjamin Richard Wiseley, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616 | |
Glen J Kemp Jr., MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616 Fax: 920-926-8098 | |
Karl Pennau, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616 | |
Michael D Mannebach, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616 | |
Dr. Clark Pomeroy Searle Iii, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8616 |