St. Marys Dean Ventures Inc.

NPI #1164467130 in Waupun, Wisconsin

Provider Information

NPI Number: 1164467130
Entity Type: Organization
Organization Name: St. Marys Dean Ventures Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: ST. MARYS DEAN VENTURES INC.
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Jun 16, 2006
Last Updated: Oct 29, 2021

Practice Location

Address: 612 W BROWN ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-1702
Phone: (920) 324-5043

Authorized Official

Name: AMY J GRINNALL
Title: CHIEF FINANCIAL OFFICE
Phone: (608) 260-3586

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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