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Contact Information

BRANDON BALTZ, PA-C
2400 PINE RIDGE BLVD
WAUSAU, WI54401-7803
 Phone: 715-847-2022
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for BRANDON BALTZ · (Male)

NPI # 1366314254
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/19/2025
Last updated 05/13/2026 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
  • IL License # 085.011659
  • WI License # 8871
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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