Provider Demographics
NPI:1164032926
Name:INTERNAL MEDICINE ASSOCIATES OF ROCHESTER HILLS, P.C.
Entity type:Organization
Organization Name:INTERNAL MEDICINE ASSOCIATES OF ROCHESTER HILLS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:GERHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-946-5393
Mailing Address - Street 1:3616 N SHIMMONS CIR
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-3912
Mailing Address - Country:US
Mailing Address - Phone:586-946-5393
Mailing Address - Fax:
Practice Address - Street 1:1423 WALTON BLVD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-1775
Practice Address - Country:US
Practice Address - Phone:586-946-5393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-06
Last Update Date:2020-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty