person
Dr. Lance Fay Haseltine, MD
General Practice Physician in Shell Lake, Wisconsin
NPI 1093010001

Lance Fay Haseltine is a General Practice Physician based in Shell Lake, WI. Lance Fay Haseltine practices in Shell Lake, WI and has the professional credentials of MD. The NPI Number for Lance Fay Haseltine is 1093010001 and holds a License No. 33541 (Wisconsin).

The current practice location address for Lance Fay Haseltine is 24521 Poquette Lake Rd, Shell Lake, WI and can be reached out via phone at 612-991-4889 and via fax at 218-440-6849.

Location: 24521 Poquette Lake Rd, Shell Lake, WI, 54871-9240
person
Provider Profile Details
NPI Number
1093010001
Provider Name
Lance Fay Haseltine
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
24521 Poquette Lake Rd, Shell Lake, WI, 54871-9240
Phone Number
612-991-4889
Fax Number
218-440-6849
Provider Enumeration Date
01/22/2011
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
24521 Poquette Lake Rd
City
State
Zip
54871-9240
Phone Number
612-991-4889
Fax Number
218-440-6849
person
Provider Business Mailing Address Details
Address
24521 Poquette Lake Rd
City
State
Zip
54871-9240
Phone Number
612-991-4889
Fax Number
218-440-6849
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
33541 (Minnesota)
Definition
Definition to come...
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