# PAUL ROUSSEAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407967326
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 31182 | SC | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 18973 | AZ | — |
| 207RH0002X | Hospice and Palliative Medicine (Internal Medicine) Physician | 31182 | SC | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 01/28/2016