Individual
BRETT ANTHONY JAHNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1555 NORTHWAY DR, SAINT CLOUD, MN 56303-4555
(320) 251-1775
Mailing address
2313 BRONCO LN, BUFFALO, MN 55313-2929
(320) 522-1771
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7508
MN
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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