Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Joseph Pampusch, PAC

Individual provider Surgical Physician Assistant · NPI 1518021948

Timothy Joseph Pampusch, PAC is a Surgical Physician Assistant in Minneapolis, Minnesota. Works from 2 locations. Licensed in Alaska, Minnesota and Wisconsin.

Licensed in
AK, MN, WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone: (612) 672-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5803 Neal Ave N, Oak Park Heights, MN 55082-2177 — (651) 439-8807

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10884 (MN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 3505-23 (WI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 536 (AK)

Record details

NPI number1518021948
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 20, 2006
Last updated in NPPESOctober 22, 2018

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