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Orthopaedic Surgery

MINNESOTA STATE UNIVERSITY

Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.

Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.

Public record

NPI 1528438116 · enumerated 2015-09-25 · record updated 2015-09-25. Source: CMS NPPES. A listing is not a TRICARE network approval.

NPPES record Google Maps Apple Maps OpenStreetMap

Authorized official: MOUZON BASS, Office Manager · (972) 367-4845

Other names: MSU SPORTS MEDICINE

Addresses and phones

Mailing address PO BOX 650850, DALLAS, TX, 75265-0850 (800) 555-9073 Fax (972) 367-3451 Google Maps Apple Maps OpenStreetMap
Practice location 135 MYERS FIELDHOUSE, MANKATO, MN, 56001-6171 (507) 389-2099 Fax (972) 367-3452 Google Maps Apple Maps OpenStreetMap

Specialties

Orthopaedic Surgery, Sports Medicine 207XX0005X
Orthopaedic Surgery 207X00000X · Primary

In this directory

MN Blue Earth County Mankato Orthopaedic Surgery

Locations and evidence

Practice location MANKATO, MN, 560016171
Accepting new patientsNot reportedCMS NPPES · September 30, 2026

Plan acceptance

No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.