Individual
DR. JAMES A ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF CARDIOLOGY AND ELECTROPHYSIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6204
(414) 890-5877
Mailing address
9200 W WISCONSIN AVE, DIVISION OF CARDIOLOGY AND ELECTROPHYSIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-6204
(414) 890-5877
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36221
WI
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
36221
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002000139P
HUMANA
—
05
—
1679527618
—
WI
Enumeration date
05/22/2006
Last updated
12/13/2022
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