Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Michael Pauly Petrich, MD

Individual provider Diagnostic Radiology Physician · NPI 1669664173

Dr. Michael Pauly Petrich, MD is a Diagnostic Radiology in Dearborn, Michigan. Graduated from Indiana University School of Medicine in 2004, 22 years ago. Practices with Barbara Ann Karmanos Cancer Institute, a 57-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Trained at
Indiana University School of Medicine
Licensed in
MI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone: (313) 436-2583
Fax: (313) 436-2809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4301084289 (MI)

Record details

NPI number1669664173
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 17, 2007
Last updated in NPPESAugust 17, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Barbara Ann Karmanos Cancer Institute — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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