NPI | 1710903828 |
---|---|
Doing Business As | DEAN CLINIC BARABOO SPECIALTY |
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 |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2006-07-14 |
Last Update Date | 2020-08-03 |