Individual
JACKIE LUTHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8450
Mailing address
749 UNIVERSITY ROW STE 200, MADISON, WI 53705-1465
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
81595-20
WI
Other
Enumeration date
05/02/2021
Last updated
07/31/2025
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