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Individual

DALE H COWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9257 PROVINCE LN, BRECKSVILLE, OH 44141-1780
(216) 798-2722
Mailing address
9257 PROVINCE LN, BRECKSVILLE, OH 44141-1780
(216) 798-2722

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35027305C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0206039
OH
Enumeration date
08/18/2006
Last updated
07/18/2016
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