# DR. HAROLD FRANKLIN ROTH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1023005659
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 5101007838 | MI | Yes |

## Other

- **Enumeration date:** 09/29/2005
- **Last updated:** 01/01/2018

## 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 | — |