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Individual

DR. VICTOR S ROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1455 W ALEXIS RD, GM POWERTRAIN MEDICAL DEPARTMENT, TOLEDO, OH 43612-4044
(734) 470-4244
Mailing address
5664 VILLA FRANCE AVE, ANN ARBOR, MI 48103-9086
(734) 669-0673

Taxonomy

Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
4301057261
MI
2083X0100X
Occupational Medicine Physician
Primary
35.056920
OH

Other

Enumeration date
12/05/2006
Last updated
07/09/2009
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