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Individual
BRIAN TOSHIRO FRY
Active
Individual
BRIAN TOSHIRO FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301507403
MI
208600000X
Surgery Physician
Primary
A209871
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4351044103
MI
Other
Enumeration date
04/17/2019
Last updated
07/31/2026
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