Individual
LOUIS JOHN ROUSSALIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1129 E 2ND ST, CASPER, WY 82601-2903
(307) 234-4585
(307) 265-7479
Mailing address
1129 E 2ND ST, CASPER, WY 82601-2903
(307) 234-4585
(307) 265-7479
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1921A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301920
BLUE CROSS BLUE SHIELD
WY
Enumeration date
07/28/2006
Last updated
04/05/2026
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