Janessa Marie Roth

NPI #1265213136 in Marshfield, Wisconsin

Provider Information

NPI Number: 1265213136
Entity Type: Individual
Name: Janessa Marie Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 9, 2023
Last Updated: Aug 19, 2025

Practice Location

Address: 1000 NORTH OAK AVENUE
City: Marshfield
State: Wisconsin
ZIP Code: 54449-5703
Phone: (715) 387-5511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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