Minnesota State University
NPI #1528438116 in Mankato, Minnesota
Provider Information
- NPI Number
- 1528438116
- Entity Type
- Organization
- Organization Name
- Minnesota State University
- Primary Specialty
- Orthopaedic Surgery
- Enumeration Date
- Sep 25, 2015
- Last Updated
- Sep 25, 2015
Practice Location
Authorized Official
- Name
- MOUZON BASS III
- Title
- OFFICE MANAGER
- Phone
- (972) 367-4845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Orthopaedic Surgery - Sports Medicine — Sports Medicine |
| Orthopaedic Surgery |
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