Individual
DR. CRAIG STEPHEN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE VETERANS DRIVE, VETERANS AFFAIRS MEDICAL CENTER GENERAL MEDICINE (1110), MINNEAPOLIS, MN 55417
(612) 725-2158
Mailing address
5117 JAMES AVE S, MINNEAPOLIS, MN 55419-1134
(612) 928-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34160-020
WI
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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