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Contact Information

MICHAEL T FRY, MD
25631 LITTLE MACK AVE STE 102
SAINT CLAIR SHORES, MI48081-2100
 Phone: 586-443-2317
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Sports Medicine

207XX0005X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL T FRY · (Male)

NPI Number 1013414432
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2018
Last updated 11/04/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • CA License # A196123
  • MI License # 4301514816
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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