Individual
TIMOTHY JOSEPH PAMPUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10884
MN
363AS0400X
Surgical Physician Assistant
3505-23
WI
363AS0400X
Surgical Physician Assistant
536
AK
Other
Enumeration date
12/20/2006
Last updated
10/22/2018
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