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

Jon T Moen, MD

Individual provider Surgery Physician · NPI 1538141742

Jon T Moen, MD is a Surgery Physician in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.

Licensed in
WI
In the registry since
2005
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

421 Camelot Dr
Fond Du Lac, WI 54935-8335
Phone: (920) 926-5760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 27281 (WI)

Record details

NPI number1538141742
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 15, 2005
Last updated in NPPESMarch 2, 2016
Mailing address420 E Division St, Fond Du Lac, WI 54935-4560

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