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St. Marys Dean Ventures, INC

Durable Medical Equipment & Medical Supplies in Columbus, WI. Organization (NPI-2).

NPI number1326324005
StatusActive
Last updated in NPPESOct 29, 2021

Details

NPI
1326324005
Entity type
Organization (NPI-2)
Legal business name
St. Marys Dean Ventures, INC
Organization subpart
Yes
Enumeration date
Oct 26, 2011
Certification date
Oct 29, 2021
Last updated
Oct 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical SuppliesWI–Yes

Other names

  • Dean Clinic Columbus Family & Sports Orthopedic Center (Doing Business As)

Practice location

1511 Park Ave
Columbus, WI 53925-2401

Phone 920-623-3012 · Fax 920-356-0719

Mailing address

118 W Maple Ave
Beaver Dam, WI 53916-2104

Phone 920-356-1000 · Fax 920-356-0719

Authorized official

Amy J Grinnell
Chief Financial Office
6086260035

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