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

Anthony Alex Rutkowski, MD

Individual provider Family Medicine Physician · NPI 1114339850

Anthony Alex Rutkowski, MD is a Family Practice in Kewaskum, Wisconsin. Qualified in 2014, 12 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
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

1701 Fond Du Lac Ave
Kewaskum, WI 53040-9129
Phone: (262) 626-4616
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 66920-20 (WI)

Record details

NPI number1114339850
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 29, 2014
Last updated in NPPESJanuary 7, 2022
Certification dateJanuary 7, 2022
Mailing address1701 Fond Du Lac Ave, Kewaskum, WI 53040-9129

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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