MARY E PETTY MD PC
Marriage and Family Therapists at Heritage Dr, Southgate, MI

License number
Michigan MP058113
Category
Osteopathic Medicine
Type
Family Medicine
Owner
Name: DR. MARY EVELYN PETTY M.D.
Title: PHYSICIAN
Phone: (734) 283-3222
Address
Address 2
3 Heritage Dr SUITE 1, Southgate, MI 48195
PO Box 193, Brownstown Township, MI 48173
National Provider ID: 1710928544
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MARY E. PETTY, M.D., PC

Brownstown Township, MI

Registration:
May 22, 2002
Addresses:
30274 Young St, Rockwood, MI 48173 (Physical)
PO Box 193, Rockwood, MI 48173 (Mailing)
State ID:
34953C
Business type:
Domestic Professional Service Corporation
Agent:
Mary E Petty Md

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