Individual
DR. ALLEN P. KUPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12720 BASS LAKE RD, MAPLE GROVE, MN 55369-6307
(763) 559-2861
(763) 559-1338
Mailing address
12720 BASS LAKE RD, MAPLE GROVE, MN 55369-6307
(763) 559-2861
(763) 559-1338
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23996
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350895100
—
MN
Enumeration date
03/02/2006
Last updated
09/22/2011
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