Individual
DR. JASON ALAN GENIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5800 COOPER FOSTER PARK RD W, LORAIN, OH 44053-4131
(440) 204-7800
(440) 204-7815
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(440) 204-7800
(440) 204-7815
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
34.009572
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2007
Last updated
10/19/2011
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