# OHIO CANCER SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639215114
- **Authorized official:** DONALD LEE DEWALD M.D. (PRESIDENT)
- **Authorized official phone:** (419) 342-2775

## Contact information

- **Practice address:** 31 E MAIN ST, SUITE 2, SHELBY, OH 44875-1262
- **Practice address phone:** (419) 342-2775
- **Practice address fax:** (419) 342-2237
- **Mailing address:** 371 CLINE AVE, MANSFIELD, OH 44907-1021
- **Mailing address phone:** (419) 756-2122
- **Mailing address fax:** (419) 756-3530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | OH | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020