# WESTERN MICHIGAN UNIVERSITY SPORTS MEDICINE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962457424
- **Authorized official:** MR. WILLIAM ARBOGAST ATC (DIRECTOR)
- **Authorized official phone:** (269) 387-3255

## Contact information

- **Practice address:** 886 GILKISON AVE, KALAMAZOO, MI 49008-5445
- **Practice address phone:** (269) 387-3248
- **Practice address fax:** (269) 387-2744
- **Mailing address:** 886 GILKISON AVE, KALAMAZOO, MI 49008-5445
- **Mailing address phone:** (269) 387-3248
- **Mailing address fax:** (269) 387-2744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | MI | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 08/22/2020