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Individual
DR. SARA L ROTH
Active
Individual
DR. SARA L ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
5101014990
MI
207R00000X
Internal Medicine Physician
Primary
5101014990
MI
208M00000X
Hospitalist Physician
58841
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4780797
—
MI
01
—
SR014990
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/27/2006
Last updated
10/22/2019
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