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Search › Wisconsin › 363A00000X

Brant Balthazor, MS, PA-C

NPI 1548640774 · on the registry since 2015

Practice

Address
2124 Kohler Memorial Dr
Sheboygan, WI 53081
Phone
(883) 821-7246
Organisation at this address
Hospice Advantage, Llc
Advanced Pain Management
Advanced Pain Management Sc
Wisconsin Spine And Pain Sc
Wisconsin Spine And Pain Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
IL, WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-01-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin