Individual
MICHELE M ROTH-KAUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 E 38TH ST, ERIE, PA 16504-1559
(814) 871-5645
Mailing address
109 UNIVERSITY SQ, ERIE, PA 16541-0002
(814) 871-5645
(814) 871-5502
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA001447L
PA
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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