Organization
ST. MARYS DEAN VENTURES INC.
Active
Parent organization
ST. MARYS DEAN VENTURES INC.
Other names
Davis Duehr Dean Regional Eye Clinics
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
1626 TUTTLE ST, SUITE 1, BARABOO, WI 53913-1501
(608) 356-2020
(608) 356-6787
Mailing address
1626 TUTTLE ST, SUITE 1, BARABOO, WI 53913-1501
(608) 356-2020
(608) 356-6787
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
WI
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21257000
—
WI
05
—
38611600
—
WI
05
—
38710800
—
WI
05
—
38711700
—
WI
05
—
38714900
—
WI
05
—
38715000
—
WI
05
—
38715400
—
WI
05
—
38715600
—
WI
05
—
38715900
—
WI
05
—
38718200
—
WI
05
—
38718300
—
WI
05
—
38719500
—
WI
05
—
38720000
—
WI
05
—
38720600
—
WI
05
—
38723700
—
WI
Enumeration date
07/07/2006
Last updated
10/29/2021
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