Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael S Fozo, MD

Individual provider Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1114019627

Dr. Michael S Fozo, MD is an Otolaryngology in Saint Clair Shores, Michigan. Graduated from New York Medical College in 1997, 29 years ago. Practices with Henry Ford Health St John Hospital, a 330-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Trained at
New York Medical College
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1116
Phone: (586) 779-7610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X · Licence MF075562 (MI)

Record details

NPI number1114019627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 29, 2006
Last updated in NPPESOctober 5, 2007
Mailing address21000 E 12 Mile Rd, Ste 111, St Clair Shores, MI 48081

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Also practisesPLASTIC AND RECONSTRUCTIVE SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 1997 (29 years in practice)
Group practice Henry Ford Health St. John Hospital — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Saint Clair Shores