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Individual
DR. HAROLD FRANKLIN ROTH
Active
Individual
DR. HAROLD FRANKLIN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101007838
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153310524
BCBSM
MI
05
—
112117791
—
MI
01
—
200000005857
PHP OF MID-MICHIGAN
MI
01
—
201488
MCLAREN HEALTH PLAN
MI
01
—
38-2402492
FEDERAL EMPLOYER ID NUMBE
—
Enumeration date
09/29/2005
Last updated
01/01/2018
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