Organization
SPECIALISTS IN REHABILITATION MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN MICHAEL ROTH M.D. (PRESIDENT)
(248) 650-5861
Entity
Organization
Contact information
Practice address
1135 W UNIVERSITY DR STE 175, ROCHESTER, MI 48307-1893
(248) 650-5861
(248) 650-5865
Mailing address
1135 W UNIVERSITY DR STE 175, ROCHESTER, MI 48307-1893
(248) 650-5861
(248) 650-5865
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
4301052881
MI
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301055982
MI
208100000X
Physical Medicine & Rehabilitation Physician
4301062365
MI
208100000X
Physical Medicine & Rehabilitation Physician
4301066288
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3183497
—
MI
05
—
3183503
—
MI
05
—
4183698
—
MI
05
—
4504201
—
MI
Enumeration date
02/21/2006
Last updated
06/24/2025
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