Individual
TIMOTHY JOSEPH PAMPUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
5803 NEAL AVE N, OAK PARK HEIGHTS, MN 55082-2177
(651) 439-8807
(651) 439-0232
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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