Organization
DEAN HEALTH SYSTEMS, INC.
Active
Organization
DEAN HEALTH SYSTEMS, INC.
Active
Other names
SSM Health Dean Medical Group - Beaver Dam
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J GRINNELL (VICE PRESIDENT - FINANCE)
(608) 260-3586
Entity
Organization
Contact information
Practice address
130 CORPORATE DR, BEAVER DAM, WI 53916-3116
(920) 877-3102
(920) 855-8790
Mailing address
130 CORPORATE DR, BEAVER DAM, WI 53916-3116
(920) 877-3102
(920) 855-8790
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
02/10/2021
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