Individual
DR. BRIAN MICHAEL ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1135 W UNIVERSITY DR, SUITE 425, ROCHESTER, MI 48307-1871
(248) 650-5861
(248) 650-5865
Mailing address
1135 W UNIVERSITY DR, SUITE 425, ROCHESTER, MI 48307-1871
(248) 650-5861
(248) 650-5865
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301055982
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3183503
—
MI
Enumeration date
02/22/2006
Last updated
10/25/2012
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