Individual
AXEL RUPRECHT
Active
Individual
AXEL RUPRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
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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