MATTHEW PAUL ROTH

LA CROSSE, WI
NPI1841573482
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WI  157863)
Enumeration Date2011-09-20
Last Update Date2021-03-15
Business Address
MATTHEW PAUL ROTH CRNA
700 WEST AVE S
LA CROSSE, WI 54601
Phone number: 608-785-0940
Mailing Address
MATTHEW PAUL ROTH CRNA
PO BOX 1510
EAU CLAIRE, WI 54702-1510
Phone number: 608-785-0940
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