Individual
BRIAN JORDAN HALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53792-0001
(608) 263-9419
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
85654-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
Other
Enumeration date
03/30/2020
Last updated
07/28/2025
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