Individual
BRANDON BALTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Mailing address
2400 PINE RIDGE BLVD, WAUSAU, WI 54401-7803
(715) 847-2022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8871
WI
363AM0700X
Medical Physician Assistant
085.011659
IL
Other
Enumeration date
09/19/2025
Last updated
05/13/2026
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