Jacob Braunschneider

NPI 1588491963 · on the registry since 2024

Practice

Address: 24760 Hospital Drive
Red Lake, MN 56671
Phone: (218) 679-2825
Organisation at this address: Sanford Medical Center Fargo
Comprehensive Health Services
Red Lake Medication Assisted Recovery Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 183500000X
183500000X
Also registered as: 183500000X
Licence states on file: FL, MI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota