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

Western Michigan University

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1033884721

Western Michigan University is a Sports Medicine (Orthopaedic Surgery) Physician in Kalamazoo, Michigan. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1903 W Michigan Ave
Kalamazoo, MI 49008-5200
Phone: (972) 367-4845
Show map & directions

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

Specialties & licences

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

Record details

NPI number1033884721
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Wmu Athletics; Wmu Athletics
NPI enumeratedAugust 13, 2021
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415