Individual
ETHAN KUPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 384-8506
(319) 356-3086
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-8506
(319) 356-3086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
40906
IA
207R00000X
Internal Medicine Physician
MD442323
PA
208M00000X
Hospitalist Physician
Primary
MD-40906
IA
Other
Enumeration date
05/21/2008
Last updated
04/09/2025
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