Michael Thomas Fry, MD
Orthopaedic Surgery in Saint Clair Shores, MI. Individual provider (NPI-1).
NPI number1013414432
StatusActive
Last updated in NPPESNov 4, 2025
Details
- NPI
- 1013414432
- Entity type
- Individual (NPI-1)
- Name
- Michael Thomas Fry
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2018
- Certification date
- Nov 4, 2025
- Last updated
- Nov 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 4301514816 | MI | Yes |
| 207XX0005X | Orthopaedic Surgery, Sports Medicine | A196123 | CA |
Practice location
25631 Little Mack Ave Ste 102Saint Clair Shores, MI 48081-2100
Phone 586-443-2317
Mailing address
26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Other practice locations
757 Westwood Plz
Los Angeles, CA 90095-2022
Los Angeles, CA 90095-2022
Phone 310-825-9111
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