SHELLY D HATLESTAD

LA CROSSE, WI
NPI1386649929
Entity TypeIndividual
GenderFemale
Sole Proprietor ?
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: WI  1766)
Enumeration Date2005-06-20
Last Update Date2007-07-08
Business Address
SHELLY D HATLESTAD PA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
SHELLY D HATLESTAD PA
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
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