Brant Michael Balthazor MS, PA-C

  • NPI 1548640774
According to our database, the NPI number for Brant Michael Balthazor MS, PA-C is 1548640774 and activated since 8 years ago. Brant Michael Balthazor MS, PA-C is an individual provider who specializes in Physician Assistant, and the primary practice location is 12203 Corporate Pkwy, Mequon, WI 53092. You can also contact Brant Michael Balthazor MS, PA-C via telephone number is (262) 387-8200. Provider NPI information was last updated on 01/04/2021.

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Overview of Brant Michael Balthazor MS, PA-C

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 06/03/2015
  • Last updated: 01/04/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 4424-023
  • License State: WI

Provider Mailing Address

  • Address: 3301 W Forest Home Ave
    Milwaukee, WI 53215
  • Phone: 414-389-2377
  • Fax:

Provider Practice Location

  • Address: 12203 Corporate Pkwy
    Mequon, WI 53092
  • Phone: 262-387-8200
  • Fax:

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 085005469
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Brant Michael Balthazor MS, PA-C?
  • A: The npi number for Brant Michael Balthazor MS, PA-C is 1548640774.
  • Q: What are Brant Michael Balthazor MS, PA-C's specialties?
  • A: Brant Michael Balthazor MS, PA-C's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Brant Michael Balthazor MS, PA-C?
  • A: The medical license number for Brant Michael Balthazor MS, PA-C is 4424-023 and issued in WI in USA.
  • Q: Where is Brant Michael Balthazor MS, PA-C practice location?
  • A: Brant Michael Balthazor MS, PA-C is practicing at 12203 Corporate Pkwy, Mequon, WI 53092.
  • Q: How to contact Brant Michael Balthazor MS, PA-C?
  • A: You can contact Brant Michael Balthazor MS, PA-C via 262-387-8200.