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

Minnesota State University

Organization Orthopaedic Surgery Physician · NPI 1528438116

Minnesota State University is an Orthopaedic Surgery Physician in Mankato, Minnesota. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
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Practice location Address checks out

135 Myers Fieldhouse
Mankato, MN 56001-6171
Phone: (507) 389-2099
Fax: (972) 367-3452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X

Record details

NPI number1528438116
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Office Manager · (972) 367-4845
Other names Msu Sports Medicine
NPI enumeratedSeptember 25, 2015
Last updated in NPPESSeptember 25, 2015
Mailing addressPo Box 650850, Dallas, TX 75265-0850

Other providers in Mankato