TED ROTH, MD

Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery

Active Individual
NPI: 1174503866

Practice Address

621 MEMORIAL DR STE 302
South Bend, IN 46601

Phone: (574) 367-3800

Specialties

Specialty Code Primary License
Obstetrics & Gynecology 207V00000X No 01081226A (IN)
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery 207VF0040X Yes 01081226A (IN)

Frequently Asked Questions

NPI 1174503866 is the National Provider Identifier for TED ROTH, MD, a Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery provider located in South Bend, IN. This NPI was enumerated on January 19, 2006.
TED ROTH, MD practices at 621 MEMORIAL DR STE 302, South Bend, IN 46601.

Quick Facts

NPI
1174503866
Type
Individual
Enumerated
Jan 19, 2006
Last Updated
Jan 3, 2025

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