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Organization

ST. MARYS DEAN VENTURES, INC

Active
Parent organization
ST. MARYS DEAN VENTURES, INC
Other names
Dean Clinic Columbus Family & Sports Orthopedic Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST. MARYS DEAN VENTURES, INC
Authorized official
AMY J GRINNELL (CHIEF FINANCIAL OFFICE)
(608) 626-0035
Entity
Organization

Contact information

Practice address
1511 PARK AVE, COLUMBUS, WI 53925-2401
(920) 623-3012
(920) 356-0719
Mailing address
118 W MAPLE AVE, BEAVER DAM, WI 53916-2104
(920) 356-1000
(920) 356-0719

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32824600
WI
Enumeration date
10/26/2011
Last updated
10/29/2021
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