NPI | 1336425016 |
---|---|
Doing Business As | DEAN CLINIC-BEAVER DAM FAMILY & SPORTS ORTHOPEDIC CENTER |
Entity Type | Organization |
Authorized Contact | AMY J GRINNELL Vice President Finance 608-260-3586 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WI) |
Enumeration Date | 2011-10-26 |
Last Update Date | 2020-08-03 |