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

Olivet College

Organization Orthopaedic Surgery Physician · NPI 1689106510

Olivet College is an Orthopaedic Surgery Physician in Olivet, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

320 S Main St
Olivet, MI 49076-9406
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 5101018837 (MI)

Record details

NPI number1689106510
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Olivet College Sports Medicine
NPI enumeratedMarch 30, 2017
Last updated in NPPESMarch 30, 2017
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995