Ted M. Roth, MD

NPI #1174503866 in South Bend, Indiana

Provider Information

NPI Number: 1174503866
Entity Type: Individual
Name: Ted M. Roth, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery
Credential: MD
Enumeration Date: Jan 19, 2006
Last Updated: Jan 3, 2025

Practice Location

Address: 621 MEMORIAL DR STE 302
City: South Bend
State: Indiana
ZIP Code: 46601-1073
Phone: (574) 367-3800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery — Urogynecology and Reconstructive Pelvic Surgery	207VF0040X	Primary

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