Individual
DR. EUGENE DONALD ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3661 N HIGHLAND DR, RADISSON, WI 54867-7067
(715) 945-2901
(715) 945-2805
Mailing address
PO BOX 8, RADISSON, WI 54867-0008
(715) 945-2901
(715) 945-2805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2853-015
WI
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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