Organization
JACK W HUTTER SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK WILLIAM HUTTER (PRESIDENT)
(262) 567-4724
Entity
Organization
Contact information
Practice address
422 SUMMIT AVE, OCONOMOWOC, WI 53066-3749
(262) 567-4724
(262) 567-5195
Mailing address
PO BOX 192, OCONOMOWOC, WI 53066-0192
(262) 567-4724
(262) 567-5195
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
474
WI
Other
Enumeration date
06/02/2007
Last updated
06/22/2010
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