Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jon Dirk Van Roo, MD

Individual provider Emergency Medicine Physician · NPI 1033384565

Dr. Jon Dirk Van Roo, MD is an Emergency Medicine Physician in Madison, Wisconsin. Works from 2 locations. Licensed in Illinois and Wisconsin.

Licensed in
IL, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

700 S Park St Ste A404
Madison, WI 53715-1830
Phone: (608) 258-6504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 430 E Division St, Fond Du Lac, WI 54935-4560 — (920) 926-4600

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 53967-20 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125051916 (IL)

Record details

NPI number1033384565
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2008
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing address700 S Park St, Suite A404, Madison, WI 53715-1830

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