Individual
DR. JON DIRK VAN ROO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 S PARK ST, SUITE A404, MADISON, WI 53715-1830
(608) 258-6504
Mailing address
700 S PARK ST, SUITE A404, MADISON, WI 53715-1830
(608) 258-6504
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
125051916
IL
207P00000X
Emergency Medicine Physician
Primary
53967-20
WI
Other
Enumeration date
04/25/2008
Last updated
05/04/2022
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