| Doctor Name: | DR. HAROLD FRANKLIN ROTH |
| NPI Number: | 1023005659 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | 5101007838 |
| Business Practice Address: | 1627 Lake Lansing Rd Suite 200 Lansing, MI - 489123788 |
| Business Phone Number: | 5174851789 |
| Business Fax Number: | 5174852357 |
| Mailing Address: | 1627 Lake Lansing Rd, Suite 200 LANSING |
| State: | MI |
| Postal Code: | 489123788 |
| Phone Number: | 5174851789 |
| Fax Number: | 5174852357 |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 10/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 5101007838 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |