Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Hallett, MD

Individual provider Sports Medicine (Family Medicine) Physician · NPI 1629098504

Mark Hallett, MD is a Sports Medicine (Family Medicine) Physician in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

820 E Grant St
Appleton, WI 54911-3483
Phone: (920) 831-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 34228 (WI)

Record details

NPI number1629098504
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESFebruary 2, 2011
Mailing addressPo Box 8003, Appleton, WI 54912-8003

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