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Dr. Michael S Fozo, MD

Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Saint Clair Shores, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114019627

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Registry record

Entity type Individual (Type 1)
Name Dr. Michael S Fozo
Credential MD
Sex Male
Practice address 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI, 48081
Enumeration date Sep 29, 2006
Last updated in NPPES Oct 5, 2007

Taxonomy & licenses

207YX0007X Plastic Surgery within the Head & Neck (Otolaryngology) Physician Allopathic & Osteopathic Physicians · License MF075562 (MI) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
4339229 Other - AETNA
H68407 Other - HEALTH ALLIANCE PLAN
0501379 Other - BLUE CARE NETWORK
4505853 Medicaid MI -
136815 Other - CARE CHOICES
P00014677 Other - RAILROAD MEDICARE
141736 Other - GREAT LAKES HEALTH PLAN
16056 Other - MCAR
6029816 Other - CIGNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Michael Fozo practice?
The practice location on file with NPPES is in Saint Clair Shores, MI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Michael Fozo?
The National Provider Identifier (NPI) for Michael Fozo is 1114019627, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-05.