Individual
DR. MICHAEL E ROUSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
7127 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 881-4365
(505) 881-8282
Mailing address
7127 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 881-4365
(505) 881-8282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1422DD
NM
Other
Enumeration date
08/24/2006
Last updated
06/30/2015
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