Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Concordia University, Inc

Organization General Practice Physician · NPI 1518439843

Concordia University, Inc is a General Practice Physician in Mequon, Wisconsin. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12800 N Lake Shore Dr
Mequon, WI 53097-2418
Phone: (972) 367-4845
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1518439843
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Cuw Sports Medicine
NPI enumeratedDecember 27, 2018
Last updated in NPPESDecember 27, 2018
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995

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