Organization
MICHAEL A ROTH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS YOLANDA B ATWOOD M.D. (OFFICE MANAGER)
(248) 347-6100
Entity
Organization
Contact information
Practice address
42450 W 12 MILE RD, NOVI, MI 48377-3013
(248) 347-6100
Mailing address
42450 W 12 MILE RD, NOVI, MI 48377-3030
(248) 347-6100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6167310
—
MI
Enumeration date
08/10/2005
Last updated
04/25/2008
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