Individual
MICHAEL THOMAS FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25631 LITTLE MACK AVE STE 102, SAINT CLAIR SHORES, MI 48081-2100
(586) 443-2317
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301514816
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
A196123
CA
Other
Enumeration date
04/11/2018
Last updated
11/04/2025
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