TED M. ROTH

SOUTH BEND, IN
NPI1174503866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery
(Licence: IN  01081226A)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: IN  01081226A)
Enumeration Date2006-01-19
Last Update Date2025-01-03
Business Address
TED M. ROTH MD
621 MEMORIAL DR STE 302
SOUTH BEND, IN 46601-1073
Phone number: 574-367-3800
Mailing Address
TED M. ROTH MD
1115 BURNS ST
SOUTH BEND, IN 46617-4403
Phone number: