Organization
DEAN HEALTH SYSTEMS, INC
Active
Organization
DEAN HEALTH SYSTEMS, INC
Active
Other names
SSM Health Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
AMY J GRINNELL (VICE PRESIDENT - FINANCE)
(608) 260-3586
Entity
Organization
Contact information
Practice address
700 S PARK ST, SUITE A, MADISON, WI 53715-1830
(608) 260-2900
Mailing address
700 S PARK ST, SUITE A, MADISON, WI 53715-1830
(608) 260-2900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053358846
—
WI
Enumeration date
10/21/2008
Last updated
08/03/2020
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