Individual provider · NPI-1
M Carlo Rothhorn
Contractor · Lansing, MI
NPI number1073261673
StatusActive
Last updated in NPPESMar 13, 2022
Details
- NPI
- 1073261673
- Entity type
- Individual (NPI-1)
- Name
- M Carlo Rothhorn
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2022
- Certification date
- Mar 13, 2022
- Last updated
- Mar 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
510 N Butler BlvdLansing, MI 48915-1936
Phone 517-894-2947
Mailing address
519 Leitram StLansing, MI 48915-1951
Phone 517-203-8937
Is something wrong?
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