MEDICARE: DR. DAVID J KUSNER MD PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD-29619	IA
2	207RI0200X	Infectious Disease Physician	MD-29619	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	14564	OTHER	IA	WELLMARK BCBS

General Provider Information

NPI Number	:	1871562736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID J KUSNER MD PHD

Provider Business Mailing Address
First Line	:	200 HAWKINS DR
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52242-1009
Country	:	US
Telephone Number	:	319-688-7440
Fax Number	:	319-887-2971

Provider Business Practice Location Address
First Line	:	540 E JEFFERSON ST STE 306
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52245-2479
Country	:	US
Telephone Number	:	319-688-7440
Fax Number	:	319-887-2971

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/03/2024

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