MEDICARE: DR. MICHAEL HENRY ROHS JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1558525626
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL HENRY ROHS JR. MD

Provider Business Mailing Address
First Line	:	3065 ARLINGTON AVE
Second Line	:	RM 0136
City	:	TOLEDO
State	:	OH
Zip	:	43614-2570
Country	:	US
Telephone Number	:	419-383-3469
Fax Number	:

Provider Business Practice Location Address
First Line	:	3065 ARLINGTON AVE
Second Line	:	ROOM 0136
City	:	TOLEDO
State	:	OH
Zip	:	43614-2570
Country	:	US
Telephone Number	:	419-383-3482
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/17/2008
Last Update Date	:	03/13/2013

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