IndividualActive
Alan Roetker, MD
NPI 1124119110 · Orthopaedic Surgery Physician · Fond Du Lac, WI
Provider details
- NPI number
- 1124119110
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 26029 (WI)
Mailing address
420 E Division St
Fond Du Lac, WI 54935-4560
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2016-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.