Dr. Rouch was born in a small community in Iowa where his father received a botany degree. The family moved to Northern Indiana early in his life where his father taught high school biology. He spent most of those early years outdoors exploring nature by camping and hiking all over the United States in a red Volkswagen van with his family. He gained a true appreciation for science and the natural world.

Dr. Rouch attended Manchester University, a tiny liberal arts University in rural Indiana, where he continued his passion for science and enjoyed competing in Track and Field and Cross Country. He was captain of his Track and Field team and is still running to this day. While at Manchester University, he participated in a Medical practicum in rural Costa Rica during a January term and found his passion for helping people and Medicine. This was a life changing experience and set him on the path to Medical school.

After college, he attended Indiana University School of Medicine in Indianapolis. This was followed by an Internal Medicine residency, a general Cardiology Fellowship and an Interventional Cardiology Fellowship at Indiana University. He was the Chief Fellow during his General Cardiology Fellowship. 

After Fellowship, he and his wife moved to Nashville, Tennessee to give her the opportunity to complete her Hematology Oncology Fellowship at Vanderbilt University. While in Nashville, he practiced Interventional Cardiology. After her fellowship was complete, they moved their young son and daughter to Indianapolis, Indiana to practice medicine in each respective area of interest. Dr. Rouch was in a large group providing cutting edge interventional cardiology providing coronary and peripheral angioplasty.

His wife decided to change the focus of her career and moved her practice to Delta, Colorado. In Delta, she has been able to provide patient focused quality care without the time constraints of her prior practice in Indianapolis. They have fallen in love with the Western Slope of Colorado and Dr. Rouch is thrilled to join the Western Slope Cardiology group in Grand Junction, Colorado. They look forward to exploring the outdoors in Colorado with hiking, skiing, cycling, camping and many other activities.