Search › Michigan › 207R00000X
Mark Roth, M.D
NPI 1801998893 · on the registry since 2006
Practice
- Address
- 26715 Greenfield Rd
Southfield, MI 48076 - Phone
- (216) 870-0974
- Organisation at this address
- Southfield Opco Llc
Medilodge Of Southfield, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-14
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