Organization
NEH PC
Active
Other names
M22 Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CODIE VASSAR M.D. (OWNER)
(414) 690-0069
Entity
Organization
Contact information
Practice address
928 S GARFIELD AVE STE 3A, TRAVERSE CITY, MI 49686-2403
(231) 835-0115
Mailing address
928 S GARFIELD AVE STE 3A, TRAVERSE CITY, MI 49686-2403
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
03/09/2026
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