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Individual
PAUL K FOZO
Active
Individual
PAUL K FOZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301080819
MI
208M00000X
Hospitalist Physician
Primary
4301080819
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0827486
BCBS
MI
01
—
1073593174
NPI
MI
05
—
474607010
—
MI
Enumeration date
01/17/2006
Last updated
05/26/2010
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