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Organization
OHIO CANCER SPECIALISTS
Active
Organization
OHIO CANCER SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD LEE DEWALD M.D. (PRESIDENT)
(419) 756-2122
Entity
Organization
Contact information
Practice address
1125 ASPIRA CT, MANSFIELD, OH 44906-4125
(419) 756-2122
(419) 756-3530
Mailing address
1125 ASPIRA CT, MANSFIELD, OH 44906-4125
(419) 756-2122
(419) 756-3530
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NULL
207RH0003X
Hematology & Oncology Physician
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
Other
Enumeration date
01/25/2006
Last updated
09/18/2012
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