Individual
SAMUEL KUPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1487
(319) 384-8843
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1487
(319) 384-8843
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
22581
IA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
22581
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205146
—
IA
01
—
20514
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
12/11/2007
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