Organization
DEAN HEALTH SYSTEMS, INC.
Active
Parent organization
DEAN HEALTH SYSTEMS, INC.
Other names
Dean Clinic Baraboo Specialty
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEAN HEALTH SYSTEMS, INC.
Authorized official
AMY J GRINNELL (VICE PRESIDENT-FINANCE)
(608) 260-3586
Entity
Organization
Contact information
Practice address
1626 TUTTLE ST, BARABOO, WI 53913
(608) 355-2145
Mailing address
1626 TUTTLE ST, BARABOO, WI 53913
(608) 355-2145
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WI
335E00000X
Prosthetic/Orthotic Supplier
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137082530
OFFICE OF WORKERS COMP
WI
05
—
200403240A
—
IN
05
—
32829800
—
WI
01
—
M64
DEAN HEALTH INSURANCE
WI
Enumeration date
07/14/2006
Last updated
08/03/2020
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