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Organization

DEAN HEALTH SYSTEMS, INC.

Active
Other names
SSM Health Dean Medical Group - Whitewater
Organization subpart
No

Provider details

NPI number
Authorized official
AMY J GRINNELL (VICE PRESIDENT - FINANCE)
(608) 260-3586
Entity
Organization

Contact information

Practice address
1305 W MAIN ST, WHITEWATER, WI 53190-1503
(262) 473-4548
(262) 472-7691
Mailing address
1305 W MAIN ST, WHITEWATER, WI 53190-1503
(262) 473-4548
(262) 472-7691

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1053358846
WI
Enumeration date
06/17/2006
Last updated
08/03/2020
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