Individual
SETH P ROUSSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8212 SUMMA AVE, BATON ROUGE, LA 70809-3421
(225) 769-4403
(225) 769-3842
Mailing address
100 WOMANS WAY, BATON ROUGE, LA 70817-5100
(225) 293-2523
(225) 293-1807
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
202373
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202373
ST MEDICAL LIC
LA
Enumeration date
11/18/2008
Last updated
09/26/2018
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