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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. STACEY ROTH, DC

Active

DR. STACEY ROTH, DC is a Pediatric Chiropractor healthcare provider located in MOORHEAD, Minnesota. NPI 1770849929 is currently active in the NPPES registry. Verify at CMS.

Pediatric Chiropractor · MOORHEAD, MN

Registration Details

NPI Number
1770849929
Provider Type
Individual
Gender
Female
NPI Issued
Apr 2, 2012 (14.377091291521 yrs)
Last Updated
Apr 2, 2012
License
3114 (MN)

Practice Information

Address
1906 30TH AVE S
MOORHEAD, MN, 565605210
Browse MN providers · Browse ZIP 56560
Phone
2182332517
Primary Specialty
Pediatric Chiropractor
111NP0017X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.