DR. Lance Fay Haseltine, M.D.

NPI #1093010001 in Shell Lake, Wisconsin

Provider Information

NPI Number: 1093010001
Entity Type: Individual
Name: DR. Lance Fay Haseltine, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Jan 22, 2011
Last Updated: Mar 4, 2025

Practice Location

Address: 24521 POQUETTE LAKE RD
City: Shell Lake
State: Wisconsin
ZIP Code: 54871-9240
Phone: (612) 991-4889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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