Individual
AXEL RUPRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 335-7341
(319) 356-2220
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 335-7341
(319) 356-2220
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
40014
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1200931
—
IA
01
—
25237
WELLMARK BCBS
IA
Enumeration date
10/13/2005
Last updated
02/27/2008
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