IndividualActive
Adam Roth, PA-C
NPI 1619648805 · Physician Assistant · Gaylord, MI
Provider details
- NPI number
- 1619648805
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601010658 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2147 Professional Dr
Gaylord, MI 49735-0003
Phone: (989) 732-1753
Fax: (989) 731-1425
Approximate (ZIP-level) locationGet directions
Mailing address
2147 Professional Dr
Gaylord, MI 49735-0003
Additional practice locations (2)
- 1996 Walden DrGaylord, MI 49735-8241Phone: (989) 731-4111
- 2585 W Houghton Lake DrPrudenville, MI 48651-9624Phone: (989) 366-2900
Registry dates
- Enumerated
- 2021-09-27
- Last updated
- 2024-09-09
- Certified
- 2024-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.