Brant Michael Balthazor, MS, PA-C

NPI #1548640774 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1548640774
Entity Type: Individual
Name: Brant Michael Balthazor, MS, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: MS, PA-C
Enumeration Date: Jun 3, 2015
Last Updated: Jan 7, 2024

Practice Location

Address: 2124 KOHLER MEMORIAL DR
City: Sheboygan
State: Wisconsin
ZIP Code: 53081-3169
Phone: (883) 821-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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