OrganizationActive
Mary E Petty MD PC
NPI 1710928544 · Family Medicine Physician · Southgate, MI
Mary E Petty MD PC is a Family Medicine Physician organization in Southgate, MI (NPI 1710928544).
Provider details
- NPI number
- 1710928544
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Petty, Physician(734) 283-3222
- License
- MP058113 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3 Heritage Dr
Suite 1
Southgate, MI 48195-3000
Phone: (734) 283-3222
Fax: (734) 283-4006
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 193
Rockwood, MI 48173-0193
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2015-06-30
Frequently asked questions
- What is Mary E Petty MD PC's NPI number?
- Mary E Petty MD PC's National Provider Identifier (NPI) is 1710928544, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mary E Petty MD PC?
- Mary E Petty MD PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mary E Petty MD PC located?
- Mary E Petty MD PC's practice location on file with NPPES is 3 Heritage Dr, Southgate, MI 48195-3000.
- What is Mary E Petty MD PC's phone number?
- The practice phone number listed in the NPPES registry for Mary E Petty MD PC is (734) 283-3222.
- Who is the authorized official for Mary E Petty MD PC?
- The authorized official listed on Mary E Petty MD PC's NPPES record is Mary Petty, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mary E Petty MD PC's NPI active?
- Yes — Mary E Petty MD PC's NPI (1710928544) is active in the NPPES registry as of the last update on 2015-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.