MARK SAMUEL ROTH

ROYAL OAK, MI
NPI1609927334
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MI  4301029387)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
-- MARK SAMUEL ROTH MD
3601 W 13 MILE RD FSC
ROYAL OAK, MI 48073-6712
Phone number: 248-423-2454
Mailing Address
-- MARK SAMUEL ROTH MD
3601 W 13 MILE RD FSC
ROYAL OAK, MI 48073
Phone number: 248-423-2454