Individual
MICHAEL R ROUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1301 STANNARD MTN RD, DANVILLE, VT 05828-4417
(802) 751-8118
Mailing address
1301 STANNARD MTN RD, DANVILLE, VT 05828-4417
(802) 751-8118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042-0010739
VT
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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