Individual
DR. MATTHEW ROBERT GHASTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC
Contact information
Practice address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 720-2273
Mailing address
826 W KING ST, OWOSSO, MI 48867-2120
(989) 720-2273
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704329416NSA2310I
MI
Other
Enumeration date
12/11/2023
Last updated
11/20/2024
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