Organization
SPECIALISTS IN REHABILITATION MEDICINE PC
Active
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
Update your record
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