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Brenda K Balthazor, PA
Medical Physician Assistant in Wausau, Wisconsin
NPI 1851316871

Brenda K Balthazor is a Medical Physician Assistant based in Wausau, WI and is specialized in Medical. Brenda K Balthazor practices in Wausau, WI and has the professional credentials of PA. The NPI Number for Brenda K Balthazor is 1851316871 and holds a License No. 186923 (Wisconsin).

The current practice location address for Brenda K Balthazor is 512 S 28Th Ave, Wausau, WI and can be reached out via phone at 715-847-2021 and via fax at 715-847-2325. You can also correspond with Brenda K Balthazor through the mailing address at 512 S 28TH AVE, WAUSAU, WI - 54401-4147 (mailing address contact number: 715-847-2021).

Location: 512 S 28Th Ave, Wausau, WI, 54401-4147
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Provider Profile Details
NPI Number
1851316871
Provider Name
Brenda K Balthazor
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
512 S 28Th Ave, Wausau, WI, 54401-4147
Phone Number
715-847-2021
Fax Number
715-847-2325
Provider Enumeration Date
07/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42871300 05 WI
institution
Provider Business Practice Location Address Details
Address
512 S 28Th Ave
City
State
Zip
54401-4147
Phone Number
715-847-2021
Fax Number
715-847-2325
person
Provider Business Mailing Address Details
Address
512 S 28Th Ave
City
State
Zip
54401-4147
Phone Number
715-847-2021
Fax Number
715-847-2325
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
186923 (Wisconsin)
Definition
Definition to come...
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