Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary E Petty MD PC

Organization Family Medicine Physician · NPI 1710928544

Mary E Petty MD PC is a Family Medicine Physician 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
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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