Klusman, Timothy

Klusman, Timothy is an individual health care provider with primary practice located at 4025 N 92Nd St , Wauwatosa WI 53222-1613. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as his primary health care specialty. Klusman, Timothy can be contacted via phone (414) 358-5431.

Contact Information

Primary practice address
4025 N 92Nd St Wauwatosa WI 53222-1613
Phone: (414) 358-5431
Fax: (414) 358-5421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 2014031836 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant 367H00000X 49-017 Wisconsin

Profile Details

NPI number 1124429022
LBN Legal business name Klusman, Timothy
Credentials Associate of Arts (AA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2014
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124429022 NPPES
Wisconsin MEDICAID 1124429022

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