Individual
ROGELIO R DECANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 226-5058
Mailing address
5620 SOUTHWYCK BLVD, TOLEDO, OH 43614-1501
(800) 777-2931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35064350
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35064350D
OH
Other
Enumeration date
03/31/2006
Last updated
09/27/2007
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