Organization
HAROLD F. ROTH, D.O.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD FRANKLIN ROTH DO (PROVIDER)
(517) 485-1789
Entity
Organization
Contact information
Practice address
1627 LAKE LANSING RD STE 200, LANSING, MI 48912-3788
(517) 485-1789
(517) 485-2357
Mailing address
1627 LAKE LANSING RD STE 200, LANSING, MI 48912-3788
(517) 485-1789
(517) 485-2357
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101007838
MI
363LF0000X
Family Nurse Practitioner
4704259692
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023005659
—
MI
Enumeration date
01/18/2018
Last updated
01/18/2018
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