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

Dr. Eddie Kiyoshi Brotkowski, DDS, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003100470

Dr. Eddie Kiyoshi Brotkowski, DDS, MD is a Student in an Organized Health Care Education/Training Program in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

464 S Hickory St Ste A
Fond Du Lac, WI 54935-5531
Phone: (920) 923-0111
Fax: (920) 923-0366
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 1001767 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003100470
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MD
Sole proprietorNo
NPI enumeratedJune 2, 2011
Last updated in NPPESMay 6, 2019

Other providers in Fond Du Lac