| NPI | 1053348904 |
|---|---|
| Doing Business As | GRAND LAKE REGIONAL CANCER CENTER |
| Entity Type | Organization |
| Authorized Contact | PAUL CLEMMENTS Managing Executive 419-251-2662 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QX0203X Clinic/Center, Oncology, Radiation (Licence: OH 1055RT) |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2019-05-15 |