Provider Demographics
NPI:1154383404
Name:BINSFELD, ELISE MICHELLE (MD)
Entity type:Individual
Prefix:DR
First Name:ELISE
Middle Name:MICHELLE
Last Name:BINSFELD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6341 UNIVERSITY AVE NE
Mailing Address - Street 2:
Mailing Address - City:FRIDLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55432-4946
Mailing Address - Country:US
Mailing Address - Phone:763-572-5710
Mailing Address - Fax:763-571-3008
Practice Address - Street 1:6341 UNIVERSITY AVE NE
Practice Address - Street 2:
Practice Address - City:FRIDLEY
Practice Address - State:MN
Practice Address - Zip Code:55432-4946
Practice Address - Country:US
Practice Address - Phone:763-572-5710
Practice Address - Fax:763-571-3008
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN43605207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNHP38699OtherHEALTHPARTNERS
MN120158100Medicaid
MN6606651OtherMEDICA UC
MN1034389OtherPREFERRED ONE
MN169146OtherUCARE MN
MN1880370OtherAMERICA'S PPO
MN0113986OtherMEDICA
MN082K1BIOtherBCBS OF MN
MN7084528OtherAETNA
MN1034389OtherPREFERRED ONE
MN7084528OtherAETNA
MN120158100Medicaid