Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Allan Jay Haesemeyer, MD

Individual provider Family Medicine Physician · NPI 1548267768

Dr. Allan Jay Haesemeyer, MD is a Family Practice in Shell Lake, Wisconsin. Qualified in 1975, 51 years ago. Practices with Advantage Physical Therapy and Sports Rehab, LLC, a 286-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
51
Licensed in
WI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

113 4th Ave
Shell Lake, WI 54871
Phone: (715) 468-7833
Fax: (715) 468-7839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 24168 (WI)

Record details

NPI number1548267768
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2005
Last updated in NPPESJune 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Group practice Advantage Physical Therapy And Sports Rehab, Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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