Organization
DEAN HEALTH SYSTEMS, INC.
Active
Organization
DEAN HEALTH SYSTEMS, INC.
Active
Other names
SSM Health Dean Medical Group - Fort Atkinson
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J GRINNELL (VICE PRESIDENT-FINANCE)
(608) 260-3586
Entity
Organization
Contact information
Practice address
740 REENA AVE, FORT ATKINSON, WI 53538-3145
(920) 563-0888
(920) 568-3516
Mailing address
740 REENA AVE, FORT ATKINSON, WI 53538-3145
(920) 563-0888
(920) 568-3516
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053358846
—
WI
Enumeration date
06/17/2006
Last updated
08/03/2020
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