Michael S Fozo in St Clair Shores - Plastic Surgery Within The Head & Neck
Michael S Fozo - NPI 1114019627
Michael S Fozo is a Plastic Surgery Within The Head & Neck in St Clair Shores, Michigan. Michael S Fozo practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Michael S Fozo is 1114019627. The last update date is 2007-10-05.
Michael S Fozo's current location address is 21000 E 12 Mile Rd, St Clair Shores, Michigan. You can contact this provider via phone number 5867797610 and fax number 5864452523. The mailing address for Michael S Fozo is 21000 E 12 Mile Rd, St Clair Shores, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael S Fozo |
|---|---|
| Address | 21000 E 12 Mile Rd, St Clair Shores, Michigan |
| Phone Number | 5867797610 |
| Fax Number | 5864452523 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114019627 |
|---|---|
| Provider Enumeration Date | 2006-09-29 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 21000 E 12 Mile Rd |
|---|---|
| City | St Clair Shores |
| State | Michigan (MI) |
| Post Code | 48081 |
| Phone Number | 5867797610 |
| Fax Number | 5864452523 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
| Licence No | MF075562 |
|
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 tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4339229 | AETNA | ||
| H68407 | HEALTH ALLIANCE PLAN | ||
| 501379 | BLUE CARE NETWORK | ||
| 4505853 | MI | -- | |
| 136815 | CARE CHOICES | ||
| P00014677 | RAILROAD MEDICARE | ||
| 141736 | GREAT LAKES HEALTH PLAN | ||
| 16056 | MCAR | ||
| 6029816 | CIGNA |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Michael S Fozo by the Centers for Medicare & Medicaid Services?
The Michael S Fozo has been issued the NPI (National Provider Identifier) 1114019627 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Michael S Fozo is geographically located?
The Michael S Fozo is physically situated at the following location: 21000 E 12 Mile Rd, St Clair Shores, MI, 48081.
What is Michael S Fozo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael S Fozo is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy classification code for this specialized field is 207Yx0007X.
On what date did the Michael S Fozo receive the assignment of its 1114019627 from the Centers for Medicare & Medicaid Services?
The Michael S Fozo was issued its 1114019627 by the Centers for Medicare & Medicaid Services on 2006-09-29.
When was the information related to Michael S Fozo most recently updated or refreshed?
The details pertaining to the Michael S Fozo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-05.