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Dr. Michael L Fozo, MD
Specialist in Detroit, Michigan
NPI 1801823471

Michael L Fozo is a Specialist based in Jackson, MI. Michael L Fozo practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Michael L Fozo is 1801823471 and holds a License No. 4301032043 (Michigan).

The current practice location address for Michael L Fozo is 22101 Moross Rd, Detroit, MI and can be reached out via phone at 313-343-4000.

Location: 22101 Moross Rd, Detroit, MI, 49201-1909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801823471
Provider Name
Michael L Fozo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
22101 Moross Rd, Detroit, MI, 49201-1909
Phone Number
313-343-4000
Fax Number
Provider Enumeration Date
06/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
22101 Moross Rd
City
Detroit
State
Michigan
Zip
48236-2148
Phone Number
313-343-4000
Fax Number
person
Provider Business Mailing Address Details
Address
22101 Moross Rd
City
Detroit
State
Michigan
Zip
48236-2148
Phone Number
313-343-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
4301032043 ()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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