DR. MARY E PETTY-DUDLEY (M.D.) – Internal Medicine Physician, NPI 1902853252

DR. MARY E PETTY-DUDLEY (M.D.) is a healthcare provider. based in Southgate, Michigan. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MP058113 (MI). The NPI Number for DR. MARY E PETTY-DUDLEY (M.D.) is 1902853252

Main info

Female
Sole Proprietor
Name
DR. MARY E PETTY-DUDLEY (M.D.)
NPI
1902853252
Phone
(734) 283-3222
Address
3 HERITAGE DR
Enumeration Date
30 May 2006
Last Update Date
12 February 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MARY E PETTY-DUDLEY (M.D.)

  • Heritage Drive, Upatoi, Columbus, Muscogee County, Georgia, 31829, United States

    SUITE 1

    SOUTHGATE, MI 481953000

    Phone: (734) 283-3222

    Fax: (734) 283-4006

    Type: Location

  • 30274, Young Drive, Gibraltar, Wayne County, Michigan, 48173, United States

    GIBRALTAR, MI 481739457

    Phone: (313) 831-8303

    Fax: (313) 831-8307

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48195)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. MARY E PETTY-DUDLEY (M.D.)?
NPI 1902853252 is assigned to DR. MARY E PETTY-DUDLEY (M.D.) under the national enumeration system.
Is DR. MARY E PETTY-DUDLEY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. MARY E PETTY-DUDLEY (M.D.)?
The page reflects Internal Medicine Physician for DR. MARY E PETTY-DUDLEY (M.D.). Clinical services aligned with this taxonomy classification.
Does DR. MARY E PETTY-DUDLEY (M.D.) practice in Michigan?
You will see Southgate, Michigan on file for DR. MARY E PETTY-DUDLEY (M.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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