| NPI | 1316917040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LEE DEWALD President 419-756-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-09-18 |