NPI 1124429022

Timothy Klusman, AA

Practitioner Anesthesiologist Assistant Wauwatosa, WI

Practice location

Address: 4025 N 92nd St, Wauwatosa, WI 53222-1613
Phone: (414) 358-5431
Fax: (414) 358-5421

Registered specialties (2)

Anesthesiologist Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 49-017 (WI)

Other Anesthesiologist Assistant providers in Wisconsin →

Anesthesiologist Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 2014031836 (MO)

Registry record

NPI: 1124429022
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Sep 2014
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.