Individual
DR. DONALD LEE DEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1125 ASPIRA CT, MANSFIELD, OH 44906-4125
(419) 756-2122
(419) 756-5486
Mailing address
1125 ASPIRA CT, MANSFIELD, OH 44906-4125
(419) 756-2122
(419) 756-5486
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35039490D
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0317473
—
OH
Enumeration date
01/09/2006
Last updated
07/01/2011
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