Individual
BRUCE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-3300
Mailing address
55 N POND DR STE 6, WALLED LAKE, MI 48390-3080
(248) 669-1900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101011492
MI
Other
Enumeration date
02/26/2007
Last updated
09/21/2007
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