Organization
MARY E PETTY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY EVELYN PETTY M.D. (PHYSICIAN)
(734) 283-3222
Entity
Organization
Contact information
Practice address
3 HERITAGE DR, SUITE 1, SOUTHGATE, MI 48195-3000
(734) 283-3222
(734) 283-4006
Mailing address
PO BOX 193, ROCKWOOD, MI 48173-0193
(734) 283-3222
(734) 283-4006
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MP058113
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102435
GREAT LAKES
MI
05
—
4157286
—
MI
05
—
4887167
—
MI
01
—
7503086
AETNA
MI
01
—
MP058113
BCBS
—
Enumeration date
06/10/2006
Last updated
06/30/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us