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Individual

DANIELLE K HALLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 280-4647

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01075300A
IN
207P00000X
Emergency Medicine Physician
R73249
AZ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
67473-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114281862
WI
Enumeration date
06/27/2012
Last updated
11/18/2020
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