Individual provider · Type 1 NPI
Lance Fay Haseltine, MD
General Practice Physician · Shell Lake, WI
NPI number
1093010001
Active
Practice location
24521 Poquette Lake Rd
Shell Lake, WI 54871-9240
Fax (715) 569-8698
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | 33541 (MN) |
| General Practice Physician Primary | 208D00000X | 35039-20 (WI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1093010001
Lance Fay Haseltine, MD's National Provider Identifier is 1093010001, issued on Jan 22, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Shell Lake, WI. The record was last updated on Mar 4, 2025.