# TIMOTHY J JESSICK

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

## Provider details

- **NPI number:** 1619081080
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | 36739 | WI | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | 36739 | WY | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | 36739 | WI | — |

## Other

- **Enumeration date:** 08/19/2006
- **Last updated:** 10/20/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100003391 | — | WI |