IndividualActive
Andrew Ertl, MD
NPI 1679894943 · Orthopaedic Surgery Physician · Prairie Du Sac, WI
Provider details
- NPI number
- 1679894943
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 66056 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
260 26th St
Prairie Du Sac, WI 53578-2203
Phone: (608) 643-2471
Fax: (608) 643-4788
Approximate (ZIP-level) locationGet directions
Mailing address
260 26th St
Prairie Du Sac, WI 53578-2203
Additional practice locations (1)
- 1111 Leffingwell Ave NeGrand Rapids, MI 49525-6406Phone: (616) 459-7101
Registry dates
- Enumerated
- 2010-06-21
- Last updated
- 2022-07-21
- Certified
- 2021-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.