Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT TAYLER BOCKSTRUCK, MD
ActiveROBERT TAYLER BOCKSTRUCK, MD is a Addiction Medicine (Internal Medicine) healthcare provider located in FRIDLEY, Minnesota. NPI 1912526419 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Internal Medicine) · FRIDLEY, MN
Registration Details
- NPI Number
- 1912526419
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2020 (6.3709125325947 yrs)
- Last Updated
- Dec 3, 2025
- License
-
76519 (MN)
Practice Information
- Address
-
520 OSBORNE RD NE STE 210FRIDLEY, MN, 554322718Browse MN providers · Browse ZIP 55432
- Phone
- 7632363800
- Fax
- 7632363821
- Primary Specialty
-
Addiction Medicine (Internal Medicine)
207RA0401X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.