Thomas G Rousseau MD Pllc

NPI #1811156458 in Marion, Kentucky

Provider Information

NPI Number: 1811156458
Entity Type: Organization
Organization Name: Thomas G Rousseau MD Pllc
Primary Specialty: Emergency Medicine
Enumeration Date: Jun 9, 2008
Last Updated: Jun 13, 2008

Practice Location

Address: 110 COUNTRY CLUB DR
City: Marion
State: Kentucky
ZIP Code: 42064-1873
Phone: (270) 744-9600

Authorized Official

Name: LINDA DERR
Title: PROVIDER ENROLLMENT SPECIALIST
Phone: (270) 744-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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