Individual
KRISTIN MARIE BALTHAZOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
2124 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3169
(833) 821-7246
Mailing address
3624 COUNTY ROAD I, SAUKVILLE, WI 53080-1446
(630) 640-3057
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.003246
IL
363A00000X
Physician Assistant
Primary
4402-23
WI
Other
Enumeration date
10/21/2008
Last updated
03/13/2023
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