Individual
DR. KATHERINE RAE ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
46401 ROMEO PLANK RD, SUITE 4, MACOMB, MI 48044-3510
(586) 226-8600
Mailing address
46401 ROMEO PLANK RD, SUITE 4, MACOMB, MI 48044-3510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL30263
SC
Other
Enumeration date
09/21/2007
Last updated
11/19/2012
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