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

Jacob Wandersee

Individual provider Specialist · NPI 1609700608

Jacob Wandersee is a Specialist in Moorhead, Minnesota. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1547 30th Ave S
Moorhead, MN 56560-5149
Phone: (218) 287-4338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1609700608
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJune 12, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address1547 30th Ave S, Moorhead, MN 56560-5149

Other providers in Moorhead