NPI 1114019627

Michael S Fozo, MD

Practitioner Plastic Surgery within the Head & Neck (Otolaryngology) Physician Saint Clair Shores, MI

Practice location

Address: 21000 E 12 Mile Rd Suite 111, Saint Clair Shores, MI 48081-1116
Phone: (586) 779-7610
Mailing address: 21000 E 12 Mile Rd STE 111, St Clair Shores, MI 48081

Registered specialties

Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence MF075562 (MI)

Other Otolaryngology providers in Michigan →

Registry record

NPI: 1114019627
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2006
Record last updated: 5 Oct 2007

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.