Organization
DEAN RETAIL SERVICES, INC.
Active
Organization
DEAN RETAIL SERVICES, INC.
Active
Other names
SSM Health Davis Duehr Dean Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY JO GRINNELL (VICE PRESIDENT FINANCE)
(608) 260-3586
Entity
Organization
Contact information
Practice address
305 ELAINES CT STE 200, DODGEVILLE, WI 53533-2103
(608) 930-7311
(608) 930-4366
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 294-6218
(608) 250-1384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/05/2024
Last updated
11/05/2024
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