Mary E Petty Md Pc in Rockwood - Family Medicine
Mary E Petty Md Pc - NPI 1710928544
Mary E Petty Md Pc is a Family Medicine in Rockwood, Michigan. Mary E Petty Md Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mary E Petty Md Pc is 1710928544. The last update date is 2015-06-30.
Mary E Petty Md Pc's current location address is Po Box 193, Rockwood, Michigan. You can contact this provider via phone number 7342833222 and fax number 7342834006. The mailing address for Mary E Petty Md Pc is Po Box 193, Rockwood, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mary E Petty Md Pc |
|---|---|
| Address | Po Box 193, Rockwood, Michigan |
| Phone Number | 7342833222 |
| Fax Number | 7342834006 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Petty Evelyn Mary |
| Credentials | M.D. |
| Telephone Number | 7342833222 |
NPI Number Detail
| NPI Number | 1710928544 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2015-06-30 |
Provider Mailing Address Detail
| Address | Po Box 193 |
|---|---|
| City | Rockwood |
| State | Michigan (MI) |
| Post Code | 481730193 |
| Phone Number | 7342833222 |
| Fax Number | 7342834006 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MP058113 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MP058113 | BCBS | ||
| 102435 | MI | GREAT LAKES | |
| 4157286 | MI | -- | |
| 4887167 | MI | -- | |
| 7503086 | MI | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Mary E Petty Md Pc by the Centers for Medicare & Medicaid Services?
The Mary E Petty Md Pc has been assigned the NPI (National Provider Identifier) 1710928544. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mary E Petty Md Pc is located?
The Mary E Petty Md Pc is situated at the following address: Po Box 193, Rockwood, MI, 481730193.
What is Mary E Petty Md Pc's area of expertise and its corresponding taxonomy classification?
The Mary E Petty Md Pc's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mary E Petty Md Pc receive its 1710928544 assignment from the Centers for Medicare & Medicaid Services?
The Mary E Petty Md Pc was assigned its 1710928544 by the Centers for Medicare & Medicaid Services on 2006-06-10.
When was the Mary E Petty Md Pc's information last updated?
The Mary E Petty Md Pc's information was last updated on 2015-06-30.
NPI Number: 1184627523
Address: 8901 Wisconsin Ave., National Naval Medical Center, Bethesda, MD