Organization
ST. MARYS DEAN VENTURES INC.
Active
Parent organization
ST. MARYS DEAN VENTURES INC.
Other names
DAVIS DUEHR DEAN JEFFERSON
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARYS DEAN VENTURES INC.
Authorized official
AMY J GRINNELL (CHIEF FINANCIAL OFFICER)
(608) 260-3586
Entity
Organization
Contact information
Practice address
144 W GARLAND ST, JEFFERSON, WI 53549-2029
(920) 674-2217
(920) 674-6030
Mailing address
144 W GARLAND ST, JEFFERSON, WI 53549-2029
(920) 674-2217
(920) 674-6030
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054014
VISION INS PLAN OF AMERIC
WI
01
—
137082506
OFFICE OF WORKERS COMP
WI
01
—
14680
NATIONAL VISION ADMINISTR
WI
01
—
20382
SPECTERA
WI
05
—
38715900
—
WI
01
—
557381
DEAN HEALTH INSURANCE
WI
Enumeration date
06/21/2006
Last updated
10/29/2021
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