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Individual
DR. STEVEN ROTH
Active
Individual
DR. STEVEN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301053206
MI
207VM0101X
Maternal & Fetal Medicine Physician
Primary
4301053206
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1603367311
BCBS INDIVIDUAL PIN
MI
05
—
3061331
—
MI
05
—
3516253
—
MI
Enumeration date
09/20/2006
Last updated
04/29/2008
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