Page 1
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Troy A. Alton
Madison Oral and Maxillofacial Surgeons SC
5801 Research Park Blvd., #110
Madison, WI 53719
Phone: 608-274-0770
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Henry N. Ambrookian, Jr.
Oral & Maxillofacial Surgery-Oakbrook Health
Center
1201 Oak St
West Bend, WI 53095
Phone: 262-334-7172
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Steven K. Anderson
Oral Surgery Center, SC
1203 8th Street
Baraboo, WI 53913
Phone: 608-356-2112
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Courtney Anderson
BayCare Clinic Oral & Maxillofacial Surgeons
2581 Development Drive
Green Bay, WI 54311
Phone: 920-347-0400
Email: [email protected]
Member Status: Active
Anesthesia Date:
Dr. Theodore M. Anderson
Sheboygan Oral & Maxillofacial Associates LTD
3637 Wilgus Ave
Sheboygan, WI 53081
Phone: 920-458-8213
Email: [email protected]
Member Status: Active
Anesthesia Date: 2017
Dr. David M. Angell
Winnebago Oral Surgery
1875 West Pointe Dr
Oshkosh, WI 54906-4174
Phone: 920-231-4600
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Chris Bacsik
Madison Oral and Maxillofacial Surgeons SC
5801 Research Park Blvd., #110
Madison, WI 53719
Phone: 608-274-0770
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Mary Ballard
Aspen Dental
12455 West Capitol Drive
Brookfiled, WI 53005
Phone: 703-772-4355
Email: [email protected]
Member Status: Candidate
Anesthesia Date:
Page 2
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Christopher A. Bergstrom
Oral & Maxillofacial Surgery Fox Cities
5395 West Michael's Drive
Appleton, WI 54913
Phone: 920-739-1214
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Joseph A. Best
Oral & Maxillofacial Surgery Associates, Ltd.
1111 Delafield St., #222
Waukesha, WI 53188-3403
Phone: 262-547-8665
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Brian J. Blocher
201 N. Mayfair Rd., #520
Milwaukee, WI 53226-4216
Phone: 414-607-0222
Email: [email protected]
Member Status: Active
Anesthesia Date: 2019
Dr. Regan F. Brown
The Oral Surgery Center
8401 Seasons Parkway
Woodbury, MN 55125
Phone: 651-738-2341
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Jeffrey L. Casperson
Oral & Maxillofacial Surgery Fox Cities
5395 West Michael's Drive
Appleton, WI 53913
Phone: 920-739-1214
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Robert K. Conlon
Lake Geneva Oral & Maxillofacial Surgery
312 Center Street
Lake Geneva, WI 53147
Phone: 262-248-8766
Email: [email protected]
Member Status: Active
Anesthesia Date: 2019
Dr. Kevin Connor
Oral & Maxillofacial Surgery Associates, Ltd.
1111 Delafield St., #222
Waukesha, WI 53188-3406
Phone: 262-547-8665
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. M. Scott Connor
Oral & Maxillofacial Surgery Associates, Ltd.
1111 Delafield St., #222
Waukesha, WI 53188-3403
Phone: 262-547-8665
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Page 3
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. John E. Darling
John E. Darling, DDS
200 W. Silver Spring Dr., #285
Glendale, WI 53217
Phone: 414-964-7109
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Jeffery B. Davis
Center for Oral and Maxillofacial Surgery
20 South Park St., #506
Madison, WI 53715
Phone: 608-256-1961
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Ian Dozier
Oral & Maxillofacial Surgery Associates
1120 Oak Ridge Drive
Eau Claire, WI 54701
Phone: 715-834-8414
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Timothy B. Durtsche
Drs. Anderson & Durtsche, LTD
615 South Tenth Street
La Crosse, WI 54601
Phone: 608-784-7319
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Charles Ellis
Bay Oral Surgery & Implant Center
2353 South Ridge Road, #1
Green Bay, WI 54304
Phone: 920-499-0471
Email: [email protected]
Member Status: Candidate
Anesthesia Date:
Dr. David J. Gingrass
Drs Hawkins, Gingrass, Miller and Triggs
2323 N Mayfair Rd, #102
Milwaukee, WI 53226
Phone: 414-257-1161
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. Robert J. Goeckermann
Oral Surgery Consultants
4811 S 76th Street, Suite 304
Greenfield, WI 53220
Phone: 414-281-3344
Email:
[email protected]
Member Status: Candidate
Anesthesia Date:
Dr. Jeffrey Goetz
Oral & Maxillofacial Surgery Associates
1120 Oak Ridge Drive
Eau Claire, WI 54701
Phone: 715-832-5455
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Page 4
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Mary A. Grote
301-A.South Roosevelt Drive
Beaver Dam, WI 53916
Phone: 920-887-8423
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Ronald Guttu
Ronald L. Guttu DDS, MSD
2359 Murphy Woods Road
Beloit, WI 53511
Phone: 608-362-9391
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Philip L. Hawkins
Drs Hawkins, Gingrass, Miller and Triggs
2323 N Mayfair Rd, #102
Milwaukee, WI 53226
Phone: 414-257-1161
Email:
Member Status: Active
Anesthesia Date: 2015
Dr. Erich Herbst
Oral Surgery Center, SC
1203 8th Street
Baraboo, WI 53913
Phone: 608-356-2112
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Donald P. Holzhauer
Oral & Maxillofacial Surgery Associates, Ltd.
1111 Delafield St., #222
Waukesha, WI 53188-3403
Phone: 262-547-8665
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. Thomas V. Houting
316 Vincent Street
Stevens Point, WI 54481
Phone: 715-342-4545
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Scott A. Hoyer
Madison Oral and Maxillofacial Surgeons SC
5801 Research Park Blvd., #110
Madison, WI 53719
Phone: 608-274-0770
Email:
Member Status: Active
Anesthesia Date: 2017
Dr. Ted A. Hughes
Lake Geneva Oral & Maxillofacial Surgery
312 Center Street
Lake Geneva, WI 53147
Phone: 262-248-8766
Email: [email protected]
Member Status: Active
Anesthesia Date: 2019
Page 5
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Slavko Ivankovic
Oral & Maxillofacial Surgery Associates
1120 Oak Ridge Drive
Eau Claire, WI 54701
Phone:
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Mark K. Jackson
Center for Oral and Maxillofacial Surgery
20 South Park St., #506
Madison, WI 53715
Phone: 608-256-1961/833-2060
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Guy K. Jensen
Oral Surgery Assoc. Ltd.
464 South Hickory Street, #A
Fond du Lac, WI 54935
Phone: 920-923-0111
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Jeffrey R. Jones
Retired
5985 Northshore Drive
Eau Claire, WI 54703
Phone: 715-835-2073
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. John J. Keller
Sheboygan Oral & Maxillofacial Associates LTD
3637 Wilgus Ave
Sheboygan, WI 53081
Phone: 920-458-8213
Email: [email protected]
Member Status: Active
Anesthesia Date: 2017
Dr. Alan A. Kimmel
Oral Surgery Associates of Milwaukee
10535 N Port Washington Road, Suite 102
Mequon, WI 53092
Phone: 262-241-0900
Email: [email protected]
Member Status: Active
Anesthesia Date: 2017
Dr. Bradley S. Koch
Bay Oral Surgery & Implant Center
2353 South Ridge Road, #1
Green Bay, WI 54304
Phone: 920-499-0471
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Timothy J. Koll
Apple Creek Oral Surgery
2410 Evergreen Drive
Appleton, WI 54913
Phone: 920-832-9500
Email: [email protected]
Member Status: Active
Anesthesia Date: 2017
Page 6
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Timothy J. Koob
Madison Oral and Maxillofacial Surgeons SC
5801 Research Park Blvd., #110
Madison, WI 53719
Phone: 608-274-0770
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Martin Koop
Gundersen Clinic
1836 South Avenue
La Crosse, WI 54601
Phone: 608-775-2260
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Mark J. Kortebein
Oral Surgery Associates of Milwaukee
10535 N Port Washington Road, Suite 102
Mequon, WI 53092
Phone: 262-241-0900
Email: [email protected]
Member Status: Active
Anesthesia Date: 2017
Dr. John M. Kosmen
Northwoods Oral & Maxillofacial Surgery, SC
7962 W Lake Ave, P.O. Box 1027
Minocqua, WI 54548
Phone: 715-358-3321
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. Andrew J. Kramer
Center for Oral and Maxillofacial Surgery
20 South Park St., #506
Madison, WI 53715
Phone: 608-695-6004
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. David E. Krigbaum
2620 Stewart Ave., #218
Wausau, WI 54401
Phone: 715-842-8811
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Thomas W. Kuerschner
Premier Oral & Maxillofacial Surgery
1602 N. Randall Avenue
Janesville, WI 53545
Phone: 608-756-8744
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Jason L. LeMoine
Bay Oral Surgery & Implant Center
2353 South Ridge Road, #1
Green Bay, WI 54304
Phone: 920-499-0471
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Page 7
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. David L. LeMoine
Bay Oral Surgery & Implant Center
2353 South Ridge Road, #1
Green Bay, WI 54304
Phone: 800-236-6725
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Patrick J. Lorge
Madison Oral and Maxillofacial Surgeons SC
5801 Research Park Blvd., #110
Madison, WI 53719
Phone: 608-274-0770
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. David P. Ludington
2819 National Drive
Onalaska, WI 54650
Phone: 608-782-8192
Email: [email protected]
Member Status: Active
Anesthesia Date: 2019
Dr. Weiguang Ma
Marshfield Clinic
4107 Barbican Way
Weston, WI 54476
Phone: 715-393-0080
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. Thomas MacKenzie
Gundersen Lutheran Health System
1900 South Avenue
La Crosse, WI 54601
Phone: 608-775-2260
Email: [email protected]
Member Status: Active
Anesthesia Date: 0
Dr. Thomas S. MacKenzie
Gunderson Clinic
1900 South Avenue
LaCrosse, WI 54601
Phone: 608-775-2260
Email: [email protected]
Member Status: Active
Anesthesia Date:
Dr. Christopher P. McAboy
377 W River Woods Parkway, #120
Glendale, WI 53212
Phone: 262-391-2186
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Christopher McFarlane
Winnebago Oral Surgery SC
1875 West Pointe Drive
Oshkosh, WI 54902
Phone: 920-231-4600
Email:
Member Status: Active
Anesthesia Date: 2017
Page 8
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Mehran Mehrabi
Advanced Dental Specialists
2600 N Mayfair Rd, Ste 101
Wauwatosa, WI 53226
Phone: 414-475-1418
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Richard Duane Meister
Premier Oral & Maxillofacial Surgery
1602 N. Randall Avenue
Janesville, WI 53545
Phone: 608-756-8744
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Michael Melugin
QuadMed/Children's Hospital of WI
W331 N6210 County Rd C
Nashotah, WI 53058
Phone: 262-798-1492
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. John W. Miller
Drs Hawkins, Gingrass, Miller and Triggs
10521 N. Pt. Washington Rd. Ste 150
Mequon, WI 53092
Phone: 262-241-0398
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. M. Drew Millington
Oral & Maxillofacial Surgery Associates
1120 Oak Ridge Drive
Eau Claire, WI 54701
Phone: 715-834-8414
Email:
Member Status: Active
Anesthesia Date: 2018
Dr. Michael J. Miskella
Bay Oral Surgery & Implant Center
2353 South Ridge Road, #1
Green Bay, WI 54304
Phone: 920-499-0471
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Jonathan Misner
Premier Oral & Maxillofacial Surgery
1602 N Randall
Janesville, WI 53545
Phone: 608-756-8744
Email: [email protected]
Member Status: Candidate
Anesthesia Date:
Dr. Ronald H. Nellen
Oral and Maxillofacial Surgery Consultants of
WI, SC
4811 South 76th Street, Suite 304
Greenfield, WI 53220
Phone: 414-281-3344
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Page 9
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. William J. Nelson
EXEMPT from Anesthesia Eval per AAOMS
480 St. Mary's Blvd.
Green Bay, WI 54301
Phone: 920-217-2036
Email: [email protected]
Member Status: Active
Anesthesia Date: 9999
Dr. Timothy S. Novak
Oral & Maxillofacial Surgery Associates, Ltd.
1111 Delafield St., #222
Waukesha, WI 53188-3403
Phone: 262-547-8665
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. Michael Oladubu
9130 W Loomis Road, Suite 700
Franklin, WI 53132
Phone: 414-209-0337
Email: [email protected]
Member Status: Candidate
Anesthesia Date:
Dr. Kim J. Pansegrau
Center for Oral and Maxillofacial Surgery
20 South Park St., #506
Madison, WI 53715
Phone: 608-256-1961
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Vijay S. Parmar
Bay Oral Surgery & Implant Center
2353 South Ridge Road, #1
Green Bay, WI 54304
Phone: 920-499-0471
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Milan N. Pastuovic
Marshfield Clinic
1000 North Oak Avenue
Marshfield, WI 54449
Phone: 715-387-5343
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. Wendy Pietz
Wendy M. Pietz, DDS, SC, Oral Facial & Implant
Surgery
4600 West Loomis Rd, Ste 220
Greenfield, WI 53220
Phone: 414-281-1881
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Ajit Vijayan Pillai
Dental Associates
11711 W Burleigh St
Wauwatosa, WI 53222
Phone: 414-771-2345
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Page 10
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Henry S. Plautz
Apple Creek Oral Surgery
2410 Evergreen Drive
Appleton, WI 54913
Phone: 920-832-9500
Email: [email protected]
Member Status: Active
Anesthesia Date: 2017
Dr. Anthony Ragonese
10401 West Lincoln Avenue, #101
West Allis, WI 53277
Phone: 414-327-4130
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Mark Ridenour
Winnebago Oral Surgery SC
1875 West Pointe Drive
Oshkosh, WI 54902
Phone: 920-231-4600
Email: [email protected]
Member Status: Active
Anesthesia Date: 2017
Dr. Terrence J. Riesch
Associated Oral & Maxillofacial Surgeons
N89 W16785 Appleton Ave.
Menomonee Falls, WI 53051
Phone: 262-253-6588
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Donald E. Romsa
Racine Oral & Maxillofacial Surgery Assoc.
5801 Washington Avenue
Racine, WI 53406
Phone: 262-886-0147
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. Doran E. Ryan
Oral Surgery Assoc. Ltd.
464 South Hickory Street, #A
Fond Du Lac, WI 54935
Phone: 920-923-0111
Email: [email protected]
Member Status: Active
Anesthesia Date: 2019
Dr. John Rydlewicz
Oral & Maxillofacial Surgery Fox Cities
5395 West Michael's Drive
Appleton, WI 54913
Phone: 920-739-1214
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Ma'Lou C. Sabino
Medical College of Wisconsin
840 N. 87th Street, #2169
Milwaukee, WI 53226
Phone: 414-805-5781
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Page 11
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Gregory A. Santarelli
Santarelli Oral & Facial Surgery, SC
5021 Washington Road
Kenosha, WI 53144-4292
Phone: 262-654-6770
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Joseph M. Schmidt
Oral & Maxillofacial Surgery Associates, Ltd.
1111 Delafield St., #222
Waukesha, WI 53188-3403
Phone: 262-547-8665
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. David P. Schmidt
Oral Surgery Assoc. Ltd.
464 South Hickory Street, #A
Fond du Lac, WI 54935
Phone: 920-923-0111
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Michael Schuh
BayCare Clinic Oral & Maxillofacial Surgeons
2581 Development Drive
Green Bay, WI 54311-4247
Phone: 920-347-0400
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Wade T. Schultz
Sheboygan Oral & Maxillofacial Associates LTD
3637 Wilgus Ave
Sheboygan, WI 53081
Phone: 920-458-8213
Email: [email protected]
Member Status: Active
Anesthesia Date: 2017
Dr. Steven R. Sewall
Medical College of Wisconsin
840 N. 87th Street, #2169
Milwaukee, WI 53226
Phone: 414-805-5781
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Kent Shinozaki
Northpoint Oral Surgery
304 E Rand Rd, Ste 200
Arlington Heights, IL 60004
Phone: 224-770-3001
Email: [email protected]
Member Status: Active
Anesthesia Date: 2019
Dr. Mark Slabbekoorn
Marshfield Clinic
850 Lakeland Drive
Chippewa Falls, WI 54729
Phone: 715-738-2000
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Page 12
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Mary Stavropoulos
Gundersen Lutheran Medical Center
1900 South Ave
La Crosse, WI 54601
Phone: 608-775-2260
Email: [email protected]
Member Status: Candidate
Anesthesia Date:
Dr. John W. Stilp
3000 Westhill Dr., #301
Wausau, WI 54401
Phone: 715-845-4511
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. Rays Strasia
5302 Buttonwood Dr
Madison, WI 53718
Phone: 608-240-0863
Email: [email protected]
Member Status: Candidate
Anesthesia Date:
Dr. Gregory G. Stroncek
Madison Oral and Maxillofacial Surgeons SC
5801 Research Park Blvd., #110
Madison, WI 53719
Phone: 608-274-0770
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Jason Swantek
Premier Oral and Maxillofacial Surgery
1602 N. Randall Avenue
Janesville, WI 53545
Phone: 608-756-8744
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Bruce J. Thomas
220 24th St. S
Wisconsin Rapids, WI 54494-1980
Phone: 715-424-8777
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Dr. Dean Tiboris
Satarelli Oral Surgery
5021 Washington Rd
Kenosha, WI 53144
Phone: 262-654-6770
Email: [email protected]
Member Status: Candidate
Anesthesia Date:
Dr. John Triggs
Drs Hawkins, Gingrass, Miller and Triggs
2323 N Mayfair Rd, #102
Milwaukee, WI 53226
Phone: 414-257-1161
Email: [email protected]
Member Status: Candidate
Anesthesia Date:
Page 13
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Bryan J. Van Oven
Burlington Oral & Maxillofacial Surgery
190 Gardner Avenue
Burlington, WI 53105
Phone: 262-763-8101
Email: [email protected]
Member Status: Active
Anesthesia Date: 2019
Dr. Peter Wagner
Oral Surgery Associates of Milwaukee
10535 N Port Washington Road, Suite 102
Mequon, WI 53092
Phone: 262-241-0900
Email: peterwagnerdds.yahoo.com
Member Status: Active
Anesthesia Date: 2017
Dr. Richard M. Wagner
Wagner Oral Surgery & Dental Implant
Specialists
1925 South Green Bay Road
Racine, WI 53406
Phone: 262-634-4646
Email: [email protected]
Member Status: Active
Anesthesia Date: 2015
Dr. Robert A. Wallock
Elmbrook O & M Surgery Assoc.
12720 North Avenue
Brookfield, WI 53005
Phone: 262-377-1566
Email:
Member Status: Active
Anesthesia Date: 2016
Dr. Geoffrey Warda
Center for Oral and Maxillofacial Surgery, SC
20 South Park St., #506
Madison, WI 53715
Phone: 608-256-1951
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Gregory Welsh
BayCare Clinic Oral & Maxillofacial Surgeons
2581 Development Drive
Green Bay, WI 54311
Phone: 920-347-0400
Email: [email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Dale W. Willoughby
6707 39th Ave
Kenosha, WI 53144
Phone: 262-658-3559
Email: [email protected]
Member Status: Active
Anesthesia Date: 2016
Dr. Donald Woehling
Dental Associates Specialty and Family Care
7117 Green Bay Road
Kenosha, WI 53142
Phone: 262-948-8345
Email: [email protected]
Member Status: Active
Anesthesia Date: 0
Page 14
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Steve Zent
BayCare Clinic Oral & Maxillofacial Surgeons
2581 Development Drive
Green Bay, WI 54311
Phone: 920-340-0400
Email: [email protected] ;
[email protected]
Member Status: Active
Anesthesia Date: 2014
Dr. Timothy I. Zuck
Oral & Maxillofacial Surgery Fox Cities
5395 West Michael's Drive
Appleton, WI 54913
Phone: 920-739-1214
Email: [email protected]
Member Status: Active
Anesthesia Date: 2018
Page 15
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Charles R. Babst
Northern Oral & Maxillofacial Surge
1419 Beaser Avenue
Ashland, WI 54806
Phone: 715-682-2660
Email: [email protected]
Member Status: Associate
Dr. Kurt E. Bruksch
Lake Geneva Oral & Maxillofacial Surgery
312 Center Street
Lake Geneva, WI 53147
Phone: 262-248-8766
Email: [email protected]
Member Status: Associate
Dr. John Brunetti
Vernon Hills Oral & Maxillofacial Surgery
1 E Phillip Rd, Ste 101
Vernon Hills, IL 60061
Phone: 847-367-4190
Email: [email protected]
Member Status: Associate
Dr. Paul K. Hodapp
Oral & Maxillofacial Surgical Associates
3712 Tower Ave, Ste E
Superior, WI 54880
Phone: 715-392-9846
Email:
Member Status: Associate
Dr. Lawrence H. Kent
Andreasen, Kent, Gadient and Associates, PC
1912 North Lexington Ave #150
Roseville, MN 55113
Phone: 651-636-2420
Email: [email protected]
Member Status: Associate
Dr. Adam M. Ozment
Lake Geneva Oral & Maxillofacial Surgery
312 Center Street
Lake Geneva, WI 53147
Phone: 262-248-8766
Email: [email protected]
Member Status: Associate
Dr. John Richard
Lake Geneva Oral & Maxillofacial Surgery
312 Center Street
Lake Geneva, WI 53147
Phone: 262-248-8766
Email:
Member Status: Associate
Page 16
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. C.C. Anderson
Phone: 715-835-7493
Email:
Member Status: Life/Retired
Dr. Odell J. Anderson
1902 Evenson Drive
Onalaska, WI 54650
Phone: 608-783-0420
Email: [email protected]
Member Status: Life/Retired
Dr. P. Michael Banasik
N2286 Pammel Pass East
La Crosse, WI 54601
Phone: 608-788-2817
Email: [email protected]
Member Status: Life/Retired
Dr. Mark W. Biolo
Oral & Maxillofacial Surgery Associates
1120 Oak Ridge Drive
Eau Claire, WI 54701
Phone: 715-834-8414
Email:
Member Status: Life/Retired
Dr. James B. Caldwell
772 Fairway Drive
Boulder City, NV 89005-3434
Phone: 702-293-2971
Email: [email protected]
Member Status: Life/Retired
Dr. Donald W. Camosy
18010 N Saddle Ridge Dr
Surprise, AZ 85374
Phone: 623-546-7165
Email: [email protected]
Member Status: Life/ Retired
Dr. Richard E. Carey
2416 Cherokee Road
Janesville, WI 53545
Phone: 608-752-5913
Email: [email protected]
Member Status: Life/Retired
Dr. Terry D. Cisler
Retired - Premier Oral & Maxillofacial Surgery
104 Seminole Road
Janesville, WI 53545
Phone: 608-754-2093
Email: [email protected]
Member Status: Life/Retired
Dr. Robert E. Cline
14354 Harbour Landings Dr, Unit B
Fort Myers, FL 33908
Phone: 920-946-1788
Email: [email protected]
Member Status: Life/Retired
Dr. Roger L. Comeau
218 E. Lincoln St.
Appleton, WI 54915-1724
Phone: 920-739-3500
Email: [email protected]
Member Status: Life/Retired
Page 17
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Ernst A. Cornielsen
W3627 Wildwood Drive
Lake Geneva, WI 53147
Phone: 262-325-0325
Email: [email protected]
Member Status: Life/Retired
Dr. Daniel J. D'Angelo
Oral & Maxillofacial Surgery Associates, Ltd.
1111 Delafield St., #222
Waukesha, WI 53188-3403
Phone: 262-547-8665
Email: [email protected]
Member Status: Life/Retired
Dr. Bradford V. Eneix
1812 Meadow Dr
Stoughton, WI 53589
Phone: 608-751-0928
Email: [email protected]
Member Status: Life/Retired
Dr. Clifford I. Foster
4983 Simon Trail
Waunakee, WI 53597
Phone: 608-238-8987
Email:
Member Status: Life/Retired
Dr. Richard N. Gettino
Phone:
Email:
Member Status: Life/Retired
Dr. James H. Griffin
4905 Bayfield Terrace
Madison, WI 53705
Phone: 608-233-7467
Email:
Member Status: Life/Retired
Dr. H. Franklin Grunske
1119 Woodland Hills DR
Waukesha, WI 53188
Phone: 262-408-5775
Email: [email protected]
Member Status: Life/Retired
Dr. Kenneth M. Hartenian
6211 Bay Shore Drive
Sturgeon Bay, WI 54235
Phone: 920-746-6975
Email: [email protected]
Member Status: Life/Retired
Dr. Arthur C. Helgerson
4931 Bonita Bay Blvd #802
Bonita Springs, FL 34134
Phone: 239-948-3865
Email: [email protected]
Member Status: Life/Retired
Dr. Weber C. Hermann
Elmbrook O & M Surgery Assoc.
12720 North Avenue
Brookfield, WI 53005
Phone: 262-784-0053
Email:
Member Status: Life/Retired
Page 18
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Richard B. Hilsabeck
1 Apple Creek Court
Appleton, WI 54911
Phone: 920-739-6954
Email: [email protected]
Member Status: Life/Retired
Dr. Ronald M. Hubbard
Dr. Ronald Hubbard, S.C.
300 Roselawn Blvd.
Green Bay, WI 54301
Phone: 920-336-5195
Email:
Member Status: Life/Retired
Dr. Peter H. Jacobsohn
3819 W. Legrande Blvd.
Mequon, WI 53092
Phone: 262-242-0931
Email: [email protected]
Member Status: Life/Retired
Dr. Dennis L. Johnson
Lake Geneva Oral & Maxillofacial Surgery
312 Center Street
Lake Geneva, WI 53147
Phone: 904-543-0046
Email: dljohnson109comcast.net
Member Status: Life/Retired
Dr. Kenneth K. Kempf
W5337 Norseman Road
La Crosse, WI 54601
Phone: 608-788-6522
Email: [email protected]
Member Status: Life/Retired
Dr. F. Allan Ledward
Phone: 970-586-9318
Email:
Member Status: Life/Retired
Dr. Ell L. Lee
2361 Lost Dauphin Road
De Pere, WI 54115
Phone: 920-338-8373
Email: [email protected]
Member Status: Life/Retired
Dr. Scott N. Levin
13502 E Del Timbre Dr
Scottsdale, AZ 85259-6300
Phone: 480-299-6862
Email: [email protected]
Member Status: Life/Retired
Dr. Joseph M. Litow
124 N. Village Way
Jupiter, FL 33458
Phone: 561-575-7011
Email: [email protected]
Member Status: Life/Retired
Dr. Joseph M. Marsik
N 3621 Oxbow Road
Columbus, WI 53925
Phone:
Email:
Member Status: Life/Retired
Page 19
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Brent J. Martin
Phone: 608-756-0746
Email:
Member Status: Life/Retired
Dr. Michael W. McFarlane
4731 Via Santa Lucia
Bonita Springs, FL 34134
Phone: 920-233-5667
Email:
Member Status: Life/Retired
Dr. Sheppard B. Mollick
Oral Surgery Associates of Milwaukee
10535 N Port Washington Road, Suite 102
Mequon, WI 53092
Phone: 262-241-0900
Email:
Member Status: Life/Retired
Dr. Charles D. Nyberg
2320 Rivers Edge Dr
Altoona, WI 54720
Phone: 715-514-1991 or 941-460-9506
Email:
Member Status: Life/Retired
Dr. Thomas W. Olsen
Thomas W. Olsen, DDS, S.C.
1824 Pheasant Run Dr
Marshfield, WI 54449
Phone: 715-209-6540
Email: [email protected]
Member Status: Life/Retired
Dr. Colin James Ott
3109 Christian Ave
Wausau, WI 54401-1409
Phone: 715-845-2622
Email: [email protected]
Member Status: Life/Retired
Dr. Richard A. Peters
M434 Spruce
Marshfield, WI 54449
Phone: 715-387-5801
Email: [email protected]
Member Status: Life/Retired
Dr. Albert J. Petrulis
Phone: 608-356-2112
Email:
Member Status: Life/Retired
Dr. Donald F. Pricco
7711 Overlook Dr.
Greendale, WI 53129
Phone: 414-421-3752
Email: [email protected]
Member Status: Life/Retired
Dr. Thomas W. Radmer
9500-271 Avenue
Trevor, WI 53170
Phone: 262-862-7304
Email:
Member Status: Life/Retired
Page 20
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Thomas J. Raspanti
19390 Misty Mountain Parkway
Brookfield, WI 53045
Phone: 262-797-9332
Email:
Member Status: Life/Retired
Dr. James J. Roelke
5008 Mirandy Rose Ct.
Middleton, WI 53562
Phone: 208-239-7540
Email: [email protected]
Member Status: Life/Retired
Dr. John W. Schoonenberg
3039 West Range Line Ct., #102
Mequon, WI 53092
Phone: 262-242-3459
Email:
Member Status: Life/Retired
Dr. Robert J. Schwartz
8843 SE 118th Lane
Summerfield, FL 34491-1629
Phone: 262-377-8820
Email:
Member Status: Life/Retired
Dr. Thomas Seidelmann
1003 Ridgewood Rd.
Duluth, MN 55804
Phone: 218-724-3031
Email:
Member Status: Life/Retired
Dr. Don L. Selmo
Retired
3308 Rosalind Avenue
Racine, WI 53405
Phone: 262-554-6955
Email: [email protected]
Member Status: Life/Retired
Dr. Richard C. Shukes
3133 North Maple Road
Butternut, WI 54514
Phone: 715-476-3829
Email:
Member Status: Life/Retired
Dr. Thomas J. Skiba
Lake Geneva O & M Surg., Ltd.
690 N. State Route 31
Crystal Lake, IL 60012
Phone: 262-248-8766
Email: [email protected]
Member Status: Life/Retired
Dr. Gary W. Sweeney
Center for Oral and Maxillofacial Surgery
20 South Park St., #506
Madison, WI 53715
Phone: 608-256-1961
Email: [email protected]
Member Status: Life/Retired
Dr. Ronald A. Ward
PO Box 306
Balsam Lake, WI 54810-0306
Phone: 715-485-9590
Email:
Member Status: Life/Retired
Page 21
Wisconsin Society of Oral and
Maxillofacial Surgeons
2015 Membership
Dr. Roger L. Zimmerman
Oral Surgery Assoc. Ltd.
464 South Hickory Street, #A
Fond du Lac, WI 54935
Phone: 920-923-0111
Email:
Member Status: Life/Retired
