| NPI | 1720956857 |
|---|---|
| Doing Business As | M22 CLINIC |
| Entity Type | Organization |
| Authorized Contact | CODIE VASSAR Owner 231-835-0115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-12-22 |