NPI 1093010001

Lance Fay Haseltine, MD

Practitioner General Practice Physician Shell Lake, WI

Practice location

Address: 24521 Poquette Lake Rd, Shell Lake, WI 54871-9240
Phone: (612) 991-4889
Fax: (715) 569-8698

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 35039-20 (WI)

Other General Practice providers in Wisconsin →

General Practice Physician

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 33541 (MN)

Registry record

NPI: 1093010001
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2011
Record last updated: 4 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.