# TIMOTHY JOSEPH PAMPUSCH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518021948
- **Gender:** Man
- **Credential:** PAC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | 10884 | MN | Yes |
| 363AS0400X | Surgical Physician Assistant | 3505-23 | WI | — |
| 363AS0400X | Surgical Physician Assistant | 536 | AK | — |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 10/22/2018