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1609927334
MARK SAMUEL ROTH
ROYAL OAK, MI
NPI
1609927334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: MI 4301029387)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
-- MARK SAMUEL ROTH MD
3601 W 13 MILE RD FSC
ROYAL OAK, MI 48073-6712
Phone number: 248-423-2454
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Mailing Address
-- MARK SAMUEL ROTH MD
3601 W 13 MILE RD FSC
ROYAL OAK, MI 48073
Phone number: 248-423-2454
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