Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mary E Petty MD PC

Organization Family Medicine Physician · NPI 1710928544

Mary E Petty MD PC provides Family Medicine Physician services in Southgate, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3 Heritage Dr Ste 1
Southgate, MI 48195-3000 Not confirmed with CMS for 11 years — call before visiting
Phone: (734) 283-3222
Fax: (734) 283-4006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MP058113 (MI)

Record details

NPI number1710928544
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Petty — Physician · (734) 283-3222
NPI enumeratedJune 10, 2006
Last updated in NPPESJune 30, 2015
Mailing addressPo Box 193, Rockwood, MI 48173-0193

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