THOMAS J LUETZOW M.D.
NPI 1598777419
Family Medicine in Fond Du Lac, WI

Q: What is Thomas Luetzow's NPI number?

The NPI number for Thomas Luetzow is 1598777419. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Q: What is Thomas Luetzow's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Luetzow was last updated on March 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 12, 2006

145 N MAIN ST, FOND DU LAC, WI 54935(920) 926-8492 Get Directions Write a Review

NPPES record last updated: March 23, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Thomas J Luetzow M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS J LUETZOW M.D. (NPI 1598777419) is an individual family medicine provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (21500) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1598777419

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameTHOMAS J LUETZOWCredential: M.D.

Location Address145 N MAIN STFond Du Lac, WI 54935-3423

Mailing Address420 E Division StFond Du Lac, WI 54935-4560 · (920) 926-8340 · Fax (920) 926-8370

Phone(920) 926-8492

Sole ProprietorNo

Enumeration DateAugust 12, 2006

Last NPPES UpdateMarch 23, 2016

✔ NPI 1598777419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 21500

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

145 N MAIN ST, Fond Du Lac, WI 54935

Open in Google Maps ↗

Other Identifiers 2

Medicaid30483700WI

Medicare UPINB54697

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK S KERMGARD MD

Emergency Medicine