Individual
NICHOLAS A HALLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1821 S STOUGHTON RD, MADISON, WI 53716
(608) 260-6000
(608) 260-6289
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
67420-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255694790
—
WI
Enumeration date
06/20/2012
Last updated
02/08/2019
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