Individual
TIMOTHY J JESSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
491 S WASHBURN ST, OSHKOSH, WI 54904-6733
(920) 364-3600
(920) 364-3900
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 454-4229
(920) 993-5003
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
36739
WI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
36739
WY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
36739
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003391
—
WI
Enumeration date
08/19/2006
Last updated
10/20/2025
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