Olivet College

NPI #1689106510 in Olivet, Michigan

Provider Information

NPI Number: 1689106510
Entity Type: Organization
Organization Name: Olivet College
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Mar 30, 2017
Last Updated: Mar 30, 2017

Practice Location

Address: 320 S MAIN ST
City: Olivet
State: Michigan
ZIP Code: 49076-9406
Phone: (972) 367-4845

Authorized Official

Name: MOUZON BASS III
Title: AGENT
Phone: (972) 367-4845

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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