Individual
JORDAN MICHAEL ROUSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14209 COOK RD, SUITE 200, BILOXI, MS 39532
(228) 867-4150
(228) 875-9558
Mailing address
PO BOX 1810, GULFPORT, MS 39502
(228) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
29976
MS
Other
Enumeration date
04/05/2016
Last updated
01/05/2023
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