Individual provider · Type 1 NPI
Robert Tayler Bockstruck, MD
Addiction Medicine (Internal Medicine) Physician · Fridley, MN
Practice location
520 Osborne Rd NE Ste 210
Fridley, MN 55432-2718
Fax (763) 236-3821
Mailing address
2925 Chicago Ave
Minneapolis, MN 55407-1321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | 76519 (MN) |
| Pediatrics Physician | 208000000X | 76519 (MN) |
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | 76519 (MN) |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
22 other providers at this address
- Allina Health SystemMental Health Clinic/Center (Including Community Mental Health Center) Fridley, MN NPI 1598700528
- Alexander Koral Thompson, RNPsychiatric/Mental Health Nurse Practitioner Fridley, MN NPI 1518551795
- Alison Marie Conemac, LICSWClinical Social Worker Fridley, MN NPI 1932822236
- Anne PerkinsPsychologist Fridley, MN NPI 1326476169
- Autumn E. Asplund, LPCC; LADCPsychiatry Physician Fridley, MN NPI 1245955459
- Blessing Nonye Azonwu, DNP, NPPsychiatric/Mental Health Nurse Practitioner Fridley, MN NPI 1568282788
- Daniel Elenz, PSYD, LPProfessional Counselor Fridley, MN NPI 1417558321
- Eric William Leppink, MDPsychiatry Physician Fridley, MN NPI 1972185940
- Fortino Rodriguez Sanchez, LPCCPsychologist Fridley, MN NPI 1326884750
- Ingrid Renee Podnieks, MDAddiction Medicine (Preventive Medicine) Physician Fridley, MN NPI 1700865300
- Jamal Ahmad Qureshi, MDPsychiatry Physician Fridley, MN NPI 1154502805
- Jami Jeyn Hughes, PSY.D, BCBA-DPsychologist Fridley, MN NPI 1104054329
About NPI 1912526419
Robert Tayler Bockstruck, MD's National Provider Identifier is 1912526419, issued on Apr 14, 2020. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Fridley, MN. The record was last updated on Sep 22, 2026.