Individual provider · Type 1 NPI

Jackie Luthardt, MD

Obstetrics & Gynecology Physician · Fond Du Lac, WI

NPI number 1679156202 Active

Practice location

420 E Division St
Fond Du Lac, WI 54935-4560

Call (920) 926-8450 Map

Mailing address

749 University Row Ste 200
Madison, WI 53705-1465

Other practice locations

  • 600 Highland Ave, Madison, WI 53792-0001 · (608) 263-6400

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X81595-20 (WI)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1679156202

Jackie Luthardt, MD's National Provider Identifier is 1679156202, issued on May 2, 2021. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Jul 31, 2025.