Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENDA K BALTHAZOR, PA
ActiveMedical Physician Assistant · WAUSAU, WI
Registration Details
- NPI Number
- 1851316871
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 12, 2006 (19.77595964909 yrs)
- Last Updated
- Apr 8, 2020
- License
-
186923 (WI)
Practice Information
- Address
-
512 S 28TH AVEWAUSAU, WI, 544014147Browse WI providers · Browse ZIP 54401
- Phone
- 7158472021
- Fax
- 7158472325
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WAUSAU, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. GINA L MCDOWELL | PA-C | 1700817970 |
| SARAH E JAEGER | PA | 1942225339 |
| MOLLIE J BERG | PA-C | 1124352604 |
| JACKLYN A KNOLL | PA-C | 1699087411 |
| MR. DANIEL THOMAS LINE | P.A.-C | 1649574898 |
| MRS. LAURA M. VAN RYN | PA-C | 1871880591 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.