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Individual
DR. LANDON ROUSSEL
Active
Individual
DR. LANDON ROUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
255884
MA
207R00000X
Internal Medicine Physician
Primary
61493897
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187360
LICENSE
AK
01
—
207273
LICENSE
LA
01
—
255884
LICENSE NUMBER
MA
01
—
61493892
LICENSE
WA
01
—
V2929
LICENSE
TX
Enumeration date
06/25/2013
Last updated
05/06/2026
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