National Provider Identifier Database

TIMOTHY KLUSMAN, A.A. – NPI #1124429022
Anesthesiologist Assistant

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.


Contact Information

TIMOTHY KLUSMAN, A.A.
4025 N 92ND ST
WAUWATOSA, WI53222-1613
Phone: 414-358-5431
Fax: 414-358-5421
Website:
Specialty Taxonomy Code
* Anesthesiologist Assistant 367H00000X

* Indicates primary specialty

NPI Profile & details for TIMOTHY KLUSMAN

NPI Number 1124429022
Credentials A.A.
Entity Individual
Enumeration date 09/10/2014
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • MO License #: 2014031836
  • WI License #: 49-017
  • WI Medicaid: 1124429022
Hospital affiliation n/a

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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