Organization
OHIO CANCER SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD LEE DEWALD M.D. (PRESIDENT)
(419) 342-2775
Entity
Organization
Contact information
Practice address
31 E MAIN ST, SUITE 2, SHELBY, OH 44875-1262
(419) 342-2775
(419) 342-2237
Mailing address
371 CLINE AVE, MANSFIELD, OH 44907-1021
(419) 756-2122
(419) 756-3530
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2411170
—
OH
Enumeration date
01/30/2007
Last updated
08/22/2020
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