| NPI | 1285678391 |
|---|---|
| Doing Business As | SSM HEALTH DEAN MEDICAL GROUP - WISCONSIN DELLS |
| Entity Type | Organization |
| Authorized Contact | AMY J GRINNELL Vice President Finance 608-294-6218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-03 |