Individual provider · Type 1 NPI

Michael S. Fozo, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician · St. Clair Shores, MI

NPI number 1114019627 Active

Practice location

21000 E 12 Mile Rd, Suite 111
St. Clair Shores, MI 48081-1116

Call (586) 779-7610 Map

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Primary 207YX0007XMF075562 (MI)

Plastic Surgery within the Head & Neck (Otolaryngology) Physician: 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 surgeri…

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About NPI 1114019627

Michael S. Fozo, MD's National Provider Identifier is 1114019627, issued on Sep 29, 2006. The primary taxonomy on file is Plastic Surgery within the Head & Neck (Otolaryngology) Physician (207YX0007X), and the practice location is in St. Clair Shores, MI. The record was last updated on Oct 5, 2007.