Individual
DR. JOSEPH G SCHUPP III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2515 GRAND AVE, DES MOINES, IA 50312-5311
(515) 243-6151
(515) 243-6153
Mailing address
PO BOX 12098, DES MOINES, IA 50312-9402
(515) 243-6151
(515) 243-6153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23512
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0191114
—
IA
Enumeration date
07/07/2006
Last updated
01/10/2020
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