Paul K Fozo MD

NPI 1073593174 - Internal Medicine - 207R00000X

NPI Details
NPI 1073593174
Gender Male
Enumeration Date 01/17/2006
Last Updated 05/26/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
50505 SCHOENHERR RD
SUITE 340
SHELBY TOWNSHIP MI, 48315-3140, US
Phone (586) 731-8400
Fax (586) 731-8406
Business Location
1746 MOMENTUM PL
CHICAGO IL, 60689-5317, US
Phone (586) 731-8400
Fax (586) 731-8406
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301080819
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According to our database, Paul K Fozo MD NPI is 1073593174, taxonomy code is 207R00000X and license number is 4301080819, license state is located at Michigan. Paul K Fozo MD physically located at 50505 Schoenherr Rd, Shelby Township MI, 48315-3140. NPI Number Paul K Fozo MD has the Individual type.

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1073593174 NPI number is provided on an as is basis without warranty of any kind. 1073593174 is maintained by the National Plan & Provider Enumeration System. The contents of Paul K Fozo MD are for informational purposes only.