← CMS Doctors and Clinicians

BRANT M BALTHAZOR

PHYSICIAN ASSISTANT · WEST BEND, WI

Provider

NPI
1548640774
Credential
Primary specialty
PHYSICIAN ASSISTANT
Gender
Male
Medical school
OTHER
Graduation year
2015

Practice

Address
1000 GATEWAY CT, WEST BEND, WI 530958541
Phone
4144551153
Accepts Medicare
Yes (individual)
Telehealth
No

Source

Authoritative
NPI Registry
Machine
JSON-LD · Markdown