JACOB WANDERSEE
NPI 1609700608
Specialist in Moorhead, MN
About Jacob Wandersee NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB WANDERSEE (NPI 1609700608) is an individual specialist in Moorhead, Minnesota and active in the NPI registry since June 2026.
NPPES Registry Identity
Specialties & Licenses
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jacob Wandersee's NPI number?
The NPI number for Jacob Wandersee is 1609700608. It was assigned to this individual provider in the NPPES registry on June 12, 2026.
Where is Jacob Wandersee located?
Jacob Wandersee practices at 1547 30th Ave S, Moorhead, MN 56560. The listed phone number is (218) 287-4338.
What is Jacob Wandersee's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
When was this NPI record last updated?
The NPPES record for Jacob Wandersee was last updated on June 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
