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Mark Rothman, CRNA
NPI 1659642213 · on the registry since 2012
Practice
- Address
- 602 Jackson St
Petoskey, MI 49770 - Phone
- (231) 348-2795
- Fax
- (231) 348-2031
- Organisation at this address
- Northern Anesthesia Providers Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-13
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 Michigan