Individual
DR. KRISTINE WILHELMINA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 LIVERNOIS RD, TROY, MI 48083-1214
(313) 205-6056
(248) 680-2099
Mailing address
2825 LIVERNOIS RD, TROY, MI 48083-1214
(313) 205-6056
(248) 680-2099
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301081874
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301081874
MI
Other
Enumeration date
02/21/2007
Last updated
04/14/2021
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