Individual
CHRISTIAN PETER ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
425 PINE RIDGE BLVD STE 211, WAUSAU, WI 54401-4123
(715) 845-5505
Mailing address
425 PINE RIDGE BLVD STE 211, WAUSAU, WI 54401-4123
(715) 845-5505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
232540-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
16700-33
WI
Other
Enumeration date
03/04/2025
Last updated
04/12/2025
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