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Contact Information

RICHARD G ROUGEAU, MD
17679 WILDRIDGE DRIVE
WILDWOOD, MO63005
 Phone: 636-519-8626
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for RICHARD G ROUGEAU · (Male)

NPI # 1265850556
Status Active
Credentials MD
Entity Individual
Enumeration date 04/03/2014
Last updated 04/03/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2001002338
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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