Individual
MICHAEL T ROUTSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3925 ALEX CT, LAFAYETTE, IN 47905-7746
(765) 200-2014
Mailing address
3925 ALEX CT, LAFAYETTE, IN 47905-7746
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01060091A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000361518
ANTHEM
IN
01
—
000000378091
ANTHEM
IN
05
—
200314540
—
IN
Enumeration date
06/14/2006
Last updated
09/17/2014
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