Organization
ST. MARYS DEAN VENTURES INC.
Active
Parent organization
ST. MARYS DEAN VENTURES INC.
Other names
DAVIS DUEHR DEAN BOSCOBEL
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. MARYS DEAN VENTURES INC.
Authorized official
AMY J GRINNELL (CHIEF FINANCIAL OFFICE)
(608) 260-3586
Entity
Organization
Contact information
Practice address
310 PARKER ST, BOSCOBEL, WI 53805-1633
(608) 375-6001
(608) 375-6011
Mailing address
310 PARKER ST, BOSCOBEL, WI 53805-1633
(608) 375-6001
(608) 375-6011
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
—
137082538
OFFICE OF WORKERS COMP
WI
01
—
22649
NATIONAL VISION ADMINISTR
WI
01
—
28845
SPECTERA
WI
05
—
38723700
—
WI
01
—
570986
DEAN HEALTH INSURANCE
WI
Enumeration date
06/21/2006
Last updated
10/29/2021
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