| Mary E Petty Md Pc | |
|
3 Heritage Dr Suite 1 Southgate MI 48195-3000 | |
| (734) 283-3222 | |
| (734) 283-4006 |
| Full Name | Mary E Petty Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3 Heritage Dr, Southgate, Michigan |
| Authorized Official Name and Position | Mary Evelyn Petty (PHYSICIAN) |
| Authorized Official Contact | 7342833222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary E Petty Md Pc Po Box 193 Rockwood MI 48173-0193 Ph: (734) 283-3222 | Mary E Petty Md Pc 3 Heritage Dr Suite 1 Southgate MI 48195-3000 Ph: (734) 283-3222 |
| NPI Number | 1710928544 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710928544 | NPI | - | NPPES |
| MP058113 | Other | BCBS | |
| 102435 | Other | MI | GREAT LAKES |
| 4157286 | Medicaid | MI | |
| 4887167 | Medicaid | MI | |
| 7503086 | Other | MI | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MP058113 (Michigan) | Primary |
A.m. Mussani, Md., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12815 Northline Rd, Southgate, MI 48195 Phone: 734-284-2090 Fax: 734-284-9666 | |
Yassir Attalla Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15450 Northline Rd Ste 102, Southgate, MI 48195 Phone: 734-282-2020 Fax: 734-282-2002 | |
Uzma Zafar Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3 Heritage Dr Ste 1, Southgate, MI 48195 Phone: 734-283-3222 | |
Accolade Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12866 Fort St, Southgate, MI 48195 Phone: 734-720-7920 | |
Southfort Family Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13650 Fort St, Southgate, MI 48195 Phone: 734-281-2150 | |
Bedside Specialists Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12100 Dix Toledo Rd, Southgate, MI 48195 Phone: 734-282-5502 | |
Megha Mohey Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14752 Northline Rd, Southgate, MI 48195 Phone: 734-785-6003 Fax: 734-985-2333 |