# GARY A RENARD MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417124355
- **Authorized official:** DR. GARY A RENARD MD (PRESIDENT)
- **Authorized official phone:** (248) 299-5777

## Contact information

- **Practice address:** 555 BARCLAY CIR STE 555, ROCHESTER HILLS, MI 48307-4555
- **Practice address phone:** (248) 299-5779
- **Practice address fax:** (248) 299-6917
- **Mailing address:** 555 BARCLAY CIR STE 555, ROCHESTER HILLS, MI 48307-4555
- **Mailing address phone:** (248) 299-5779
- **Mailing address fax:** (248) 299-6917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2008
- **Last updated:** 06/30/2008