Individual
JACOB BRIAN BRAUNSCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24760 HOSPITAL DRIVE, RED LAKE, MN 56671
(218) 679-2825
Mailing address
710 38TH ST NW, BEMIDJI, MN 56601-2297
(586) 899-4722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302416628
MI
183500000X
Pharmacist
PS67728
FL
Other
Enumeration date
09/18/2024
Last updated
01/30/2025
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