person
Dr. Michael S Fozo, MD
Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Saint Clair Shores, Michigan
NPI 1114019627

Michael S Fozo is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician based in St Clair Shores, MI and is specialized in Plastic Surgery within the Head & Neck. Michael S Fozo practices in Saint Clair Shores, MI and has the professional credentials of MD. The NPI Number for Michael S Fozo is 1114019627 and holds a License No. MF075562 (Michigan).

The current practice location address for Michael S Fozo is 21000 E 12 Mile Rd, Saint Clair Shores, MI and can be reached out via phone at 586-779-7610.

Location: 21000 E 12 Mile Rd, Saint Clair Shores, MI, 48081
person
Provider Profile Details
NPI Number
1114019627
Provider Name
Michael S Fozo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
21000 E 12 Mile Rd, Saint Clair Shores, MI, 48081
Phone Number
586-779-7610
Fax Number
Provider Enumeration Date
09/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4339229 01 AETNA
H68407 01 HEALTH ALLIANCE PLAN
0501379 01 BLUE CARE NETWORK
4505853 05 MI
136815 01 CARE CHOICES
P00014677 01 RAILROAD MEDICARE
141736 01 GREAT LAKES HEALTH PLAN
16056 01 MCAR
6029816 01 CIGNA
institution
Provider Business Practice Location Address Details
Address
21000 E 12 Mile Rd
City
State
Zip
48081-1116
Phone Number
586-779-7610
Fax Number
person
Provider Business Mailing Address Details
Address
21000 E 12 Mile Rd
City
State
Zip
48081-1116
Phone Number
586-779-7610
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Plastic Surgery within the Head & Neck
Taxonomy
License No.
MF075562 (Michigan)
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
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