Individual
DR. DONALD BRUCE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
560 W MITCHELL ST, SUITE 350, PETOSKEY, MI 49770-2275
(231) 487-2220
(231) 487-6597
Mailing address
560 W MITCHELL ST, SUITE 350, PETOSKEY, MI 49770-2275
(231) 487-2220
(231) 487-6597
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301046012
MI
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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