Individual
DR. JENNIFER ELAINE ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11107 ULYSSES ST NE STE 100, BLAINE, MN 55434-4264
(763) 333-7733
(763) 333-7711
Mailing address
11107 ULYSSES ST NE STE 100, BLAINE, MN 55434-4264
(763) 333-7733
(763) 333-7711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54757
MN
Other
Enumeration date
10/29/2008
Last updated
03/04/2021
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