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Stanley Roth, RPH

NPI 1588996755 · on the registry since 2010

Practice

Address
1111 S Pokegama Ave
Grand Rapids, MN 55744
Phone
(218) 326-0593
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Also registered as
183500000X
Licence states on file
MN, SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota