Individual
JACK W HUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
422 E 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
213E00000X
Podiatrist
Primary
474
WI
Other
Enumeration date
03/31/2006
Last updated
03/17/2008
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