Provider Demographics
NPI:1942244686
Name:BINSTADT, BRYCE ANTHONY (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:BRYCE
Middle Name:ANTHONY
Last Name:BINSTADT
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Gender:M
Credentials:MD, PHD
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Mailing Address - Street 1:720 WASHIGNTON AVE SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414
Mailing Address - Country:US
Mailing Address - Phone:612-884-0649
Mailing Address - Fax:612-676-8992
Practice Address - Street 1:420 DELAWARE ST SE
Practice Address - Street 2:MMC 817
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0341
Practice Address - Country:US
Practice Address - Phone:612-626-4598
Practice Address - Fax:612-626-6905
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2012-10-19
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Provider Licenses
StateLicense IDTaxonomies
MN49282208000000X, 2080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics