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Organization

ST. MARYS DEAN VENTURES INC.

Active
Parent organization
ST. MARYS DEAN VENTURES INC.
Other names
Dean Clinic - Cuba City
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
207 E SKELLY ST, CUBA CITY, WI 53807-1453
(608) 744-2767
(608) 744-3578
Mailing address
207 E SKELLY ST, CUBA CITY, WI 53807-1453
(608) 744-2767
(608) 744-3578

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137082522
OFFICE OF WORKERS COMP
WI
05
32780900
WI
01
N48
DEAN HEALTH INSURANCE
WI
Enumeration date
06/15/2006
Last updated
10/29/2021
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