Individual
STEVE L ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
Mailing address
3631 N MORRISON RD, MUNCIE, IN 47304-5547
(765) 281-3443
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01041605
IN
208M00000X
Hospitalist Physician
Primary
01041605A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100373210
—
IN
Enumeration date
11/01/2006
Last updated
05/14/2021
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