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Contact Information

TIMOTHY J JESSICK, DO
491 S WASHBURN ST
OSHKOSH, WI54904-6733
 Phone: 920-364-3600
 Fax: 920-364-3900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for TIMOTHY J JESSICK · (Male)

NPI Number 1619081080
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/19/2006
Last updated 10/20/2025 - About 8 months ago
Sole proprietor 1 No
Identifiers
  • WI License # 36739
  • WY License # 36739
  • WI Medicaid 100003391
Hospital affiliation(s)
  • APPLETON MED CTR - (Acute Care)
    1818 N MEADE ST
    APPLETON, WI 54911
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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