Individual
DENISE L ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 241-8000
Mailing address
342 13TH AVE NE, MINNEAPOLIS, MN 55413-1265
(651) 588-9411
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10814
MN
363A00000X
Physician Assistant
PA-890
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432142899
—
ME
Enumeration date
09/20/2006
Last updated
04/10/2015
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