Individual provider · Type 1 NPI

Michael Thomas Fry, MD

Orthopaedic Surgery Physician · St. Clair Shores, MI

NPI number 1013414432 Active

Practice location

25631 Little Mack Ave Ste 102
St. Clair Shores, MI 48081-2100

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice locations

  • 757 Westwood Plz, Los Angeles, CA 90095-2022 · (310) 825-9111

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005XA196123 (CA)
Orthopaedic Surgery Physician Primary 207X00000X4301514816 (MI)

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

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About NPI 1013414432

Michael Thomas Fry, MD's National Provider Identifier is 1013414432, issued on Apr 11, 2018. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in St. Clair Shores, MI. The record was last updated on Nov 4, 2025.