| Frank Roth DO PC | |
|
19223 Merriman Rd Livonia MI 48152-1754 | |
| (248) 474-2400 | |
| (248) 474-4730 |
| Full Name | Frank Roth DO PC |
|---|---|
| Speciality | Family Medicine |
| Location | 19223 Merriman Rd, Livonia, Michigan |
| Authorized Official Name and Position | Frank Roth (DOCTOR) |
| Authorized Official Contact | 2484742400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Frank Roth DO PC 19223 Merriman Rd Livonia MI 48152-1754 Ph: (248) 474-2400 | Frank Roth DO PC 19223 Merriman Rd Livonia MI 48152-1754 Ph: (248) 474-2400 |
| NPI Number | 1457524456 |
|---|---|
| Provider Enumeration Date | 04/10/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457524456 | NPI | - | NPPES |
| 0858214954 | Other | MI | BLUE CROSS BLUE SHIELD |
| 2097910 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101004762 (Michigan) | Primary |
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