Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael J Vander Kooy, MD

Individual provider Radiation Oncology Physician · NPI 1760444541

Dr. Michael J Vander Kooy, MD is a Radiation Oncology in Fond Du Lac, Wisconsin. Graduated from University of Wisconsin School of Medicine in 1993, 33 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
33
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2006
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

480 E Division St
Fond Du Lac, WI 54935-3734
Phone: (920) 926-4100
Fax: (920) 926-4190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 37647 (WI)

Record details

NPI number1760444541
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESOctober 21, 2020
Certification dateOctober 21, 2020
Mailing address420 E Division St, Fond Du Lac, WI 54935-4560

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1993 (33 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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