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Contact Information

SARA L ROTH, MD
1105 6TH STREET
TRAVERSE CITY, MI49684
 Phone: 231-947-0673
 Fax: 801-740-2847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for SARA L ROTH · (Female)

NPI Number 1912973389
Status Active
Credentials MD
Entity Individual
Enumeration date 02/27/2006
Last updated 10/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101014990
  • MN License # 58841
  • MI Medicaid 4780797
  • MI Other SR014990 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • SANFORD BEMIDJI MEDICAL CENTER - (Acute Care)
    1300 ANNE ST NW
    BEMIDJI, MN 56601
  • SANFORD BEMIDJI MEDICAL CENTER - (Acute Care)
    1300 ANNE ST NW
    BEMIDJI, MN 56601
  • ST FRANCIS HOSPITAL - (Critical Access)
    3401 LUDINGTON ST
    ESCANABA, MI 49829
  • ST FRANCIS HOSPITAL - (Critical Access)
    3401 LUDINGTON ST
    ESCANABA, MI 49829
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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