Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alan W Roetker, MD

Individual provider Orthopaedic Surgery Physician · NPI 1124119110

Alan W Roetker, MD is an Orthopaedic Surgery Physician in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

421 Camelot Dr
Fond Du Lac, WI 54935-8335
Phone: (920) 926-8616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 26029 (WI)

Record details

NPI number1124119110
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESMarch 2, 2016
Mailing address420 E Division St, Fond Du Lac, WI 54935-4560

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