IndividualActive
Jon Kooistra, MD
NPI 1649229345 · Allergy & Immunology Physician · Madison, WI
Provider details
- NPI number
- 1649229345
- Entity type
- Individual
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 18484-020 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
752 N High Point Rd
Madison, WI 53717-2236
Phone: (608) 824-4000
Fax: (608) 824-4910
Approximate (ZIP-level) locationGet directions
Mailing address
752 N High Point Rd
Madison, WI 53717-2236
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2014-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.