person
Dr. Harold Franklin Roth, DO
General Practice Physician in Lansing, Michigan
NPI 1023005659

Harold Franklin Roth is a General Practice Physician based in Lansing, MI. Harold Franklin Roth practices in Lansing, MI and has the professional credentials of DO. The NPI Number for Harold Franklin Roth is 1023005659 and holds a License No. 5101007838 (Michigan).

The current practice location address for Harold Franklin Roth is 1627 Lake Lansing Rd, Lansing, MI and can be reached out via phone at 517-485-1789 and via fax at 517-485-2357. You can also correspond with Harold Franklin Roth through the mailing address at 1627 LAKE LANSING RD, LANSING, MI - 48912-3788 (mailing address contact number: 517-485-1789).

Location: 1627 Lake Lansing Rd, Lansing, MI, 48912-3788
person
Provider Profile Details
NPI Number
1023005659
Provider Name
Harold Franklin Roth
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1627 Lake Lansing Rd, Lansing, MI, 48912-3788
Phone Number
517-485-1789
Fax Number
517-485-2357
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
112117791 05 MI
200000005857 01 MI PHP OF MID-MICHIGAN
38-2402492 01 FEDERAL EMPLOYER ID NUMBE
0153310524 01 MI BCBSM
201488 01 MI MCLAREN HEALTH PLAN
institution
Provider Business Practice Location Address Details
Address
1627 Lake Lansing Rd
City
State
Zip
48912-3788
Phone Number
517-485-1789
Fax Number
517-485-2357
person
Provider Business Mailing Address Details
Address
1627 Lake Lansing Rd
City
State
Zip
48912-3788
Phone Number
517-485-1789
Fax Number
517-485-2357
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
5101007838 (Michigan)
Definition
Definition to come...
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