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BRANT BALTHAZOR, MS, PA-C
MS, PA-C
Physician Assistant
NPI: 1548640774IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
085005469(IL)4424-023(WI)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2015
Contact & Hours
- Address
- 2124 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081 - Phone
- (883) 821-7246
Quick Facts
- NPI
- 1548640774
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 11
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