Jack W Hutter


Address: 422 E Summit Ave, Oconomowoc, WI 53066-3749

Jack W Hutter (NPI# 1528029295, PAC ID# 9739210451) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1528029295
PAC ID by PECOS 9739210451
Professional Enrollment ID I20100714001053
Full Name Jack W Hutter
Address 422 E Summit Ave
Oconomowoc
WI 53066-3749
Gender M
Medical School DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1981
Primary Specialty PODIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
520062 OCONOMOWOC MEMORIAL HOSPITAL
520008 WAUKESHA MEMORIAL HOSPITAL

Other Locations

Address Phone Organization
422 E Summit Ave, Oconomowoc, WI 53066-3749

Organization Information

Office Location

Street Address 422 E SUMMIT AVE
City OCONOMOWOC
State WI
Zip 53066-3749

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Anne K Wick Nurse Practitioner Prohealth Care Medical Associates Inc 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066
David D Schlomer Internal Medicine Prohealth Care Medical Associates Inc 1185 Corporate Dr, Suite 350, Oconomowoc, WI 53066
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David M Bjork Optometry Oconomowoc Vision Clinic, LLC 1674 Old School House Rd, Suite 101, Oconomowoc, WI 53066-1399
Nathan James Omick Chiropractic Michael R Traub D.c. Ltd N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185
Michael Ray Traub Chiropractic Michael R Traub D.c. Ltd N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185
Karen Ihry Gould Chiropractic Michael R Traub D.c. Ltd N58 W39799 Hwy 16, Oconomowoc, WI 53066-2185
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Competitor

Search similar physicians

City OCONOMOWOC
Zip Code 53066
Specialty PODIATRY
City + Specialty OCONOMOWOC + PODIATRY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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