Individual
MR. JACOB MICHAEL ENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11400 MAGNOLIA ST NW, COON RAPIDS, MN 55448-3227
(763) 433-4933
Mailing address
11400 MAGNOLIA ST NW, COON RAPIDS, MN 55448-3227
(763) 433-4933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14476841
MN
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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