Individual provider · Type 1 NPI

Brant Michael Balthazor, MS, PA-C

Physician Assistant · Sheboygan, WI

NPI number 1548640774 Active

Practice location

2124 Kohler Memorial Dr
Sheboygan, WI 53081-3169

Mailing address

3624 County Road I
Saukville, WI 53080-1446

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085005469 (IL)
Physician Assistant Primary 363A00000X4424-023 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1548640774

Brant Michael Balthazor, MS, PA-C's National Provider Identifier is 1548640774, issued on Jun 3, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Sheboygan, WI. The record was last updated on Jan 7, 2024.