Individual provider · Type 1 NPI

Shelly D. Hatlestad, PA

Surgical Physician Assistant · La Crosse, WI

NPI number 1386649929 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Call (608) 782-7300 Map

Fax (608) 775-4467

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1766 (WI)

Surgical Physician Assistant: Definition to come...

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About NPI 1386649929

Shelly D. Hatlestad, PA's National Provider Identifier is 1386649929, issued on Jun 20, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in La Crosse, WI. The record was last updated on Jul 13, 2026.