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Individual
JOHN ROBERT ROTH
Active
Individual
JOHN ROBERT ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33307
MN
207R00000X
Internal Medicine Physician
77504
MN
207RN0300X
Nephrology Physician
Primary
77504
MN
Other
Enumeration date
03/24/2023
Last updated
06/16/2026
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