Individual
MICHAEL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1110 COLUMBINE DR, HOLTON, KS 66436-8824
(785) 364-2116
Mailing address
14525 326TH RD, WHITING, KS 66552-9510
(785) 364-2116
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
37703
KS
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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