Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gretchen Roth, MD

Individual provider Dermatology Physician · NPI 1912311614

Gretchen Roth, MD is a Dermatology in Wauwatosa, Wisconsin. Graduated from Vanderbilt University School of Medicine in 2014, 12 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
12
Trained at
Vanderbilt University School of Medicine
Licensed in
WI
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10000 W Bluemound Rd
Wauwatosa, WI 53226-4321
Phone: (414) 454-4321
Fax: (414) 805-3808
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9200 W Wisconsin Ave, Milwaukee, WI 53226 — (414) 805-3666
  • 4805 S Moorland Rd, New Berlin, WI 53151-7401 — (262) 798-7200

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 69129 (WI)

Record details

NPI number1912311614
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2014
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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