MEDICARE: INTERNAL MEDICINE ASSOCIATES OF ROCHESTER HILLS, P.C.

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1164032926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTERNAL MEDICINE ASSOCIATES OF ROCHESTER HILLS, P.C.

Provider Business Mailing Address
First Line	:	3616 N SHIMMONS CIR
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-3912
Country	:	US
Telephone Number	:	586-946-5393
Fax Number	:

Provider Business Practice Location Address
First Line	:	1423 WALTON BLVD
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-1775
Country	:	US
Telephone Number	:	586-946-5393
Fax Number	:

Authorized Official
Title or Position	:	DIRECT OWNER
Name	:	DR. SARA ELIZABETH GERHARDT
Credential	:	M.D.
Telephone Number	:	586-946-5393

Provider Enumeration Date	:	08/06/2020
Last Update Date	:	08/06/2020

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