NPI 1013414432
Michael Thomas Fry, MD
Practice location
- Address
- 25631 Little Mack Ave STE 102, Saint Clair Shores, MI 48081-2100
- Phone
- (586) 443-2317
- Mailing address
- 26901 Beaumont Blvd STE 3d, Southfield, MI 48033-3849
Registered specialties (2)
Orthopaedic Surgery Physician
Primary
Sports Medicine (Orthopaedic Surgery) Physician
Registry record
- NPI
- 1013414432
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Apr 2018
- Record last updated
- 4 Nov 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.