Individual
CHRISTY A ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS PA C
Contact information
Practice address
35 MILES ST, MILES MEDICAL GROUP EMERGENCY DEPT, DAMARISCOTTA, ME 04543-4047
(207) 563-4521
(207) 563-3717
Mailing address
35 MILES ST, MILES MEDICAL GROUP EMERGENCY DEPT, DAMARISCOTTA, ME 04543-4047
(207) 563-4521
(207) 563-3717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-583
ME
Other
Enumeration date
11/30/2005
Last updated
07/08/2007
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