Individual provider · Type 1 NPI

Michael L. Fozo, MD

Specialist · Detroit, MI

NPI number 1801823471 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Call (313) 343-4000 Map

Mailing address

744 W Michigan Ave
Jackson, MI 49201-1909

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4301032043

Specialist: 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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About NPI 1801823471

Michael L. Fozo, MD's National Provider Identifier is 1801823471, issued on Jun 27, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.