Healthcare Provider Details

I. General information

NPI: 1366371841
Provider Name (Legal Business Name): DEAN RETAIL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 VALLEY RD SUITE 100
VERONA WI
53593-7962
US

IV. Provider business mailing address

960 VALLEY RD SUITE 100
VERONA WI
53593-7962
US

V. Phone/Fax

Practice location:
  • Phone: 608-260-1320
  • Fax: 608-260-1315
Mailing address:
  • Phone: 608-260-1320
  • Fax: 608-260-1315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: AMY JO GRINNELL
Title or Position: VP FINANCE, CFO
Credential:
Phone: 608-260-3586