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Individual

IGOR GENKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 332-7672
(330) 332-7674
Mailing address
1995 E STATE ST, SALEM, OH 44460-2423
(330) 332-7672
(330) 332-7674

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
35-074191
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2139251
OH
01
P00178861
MCR RR
OH
Enumeration date
07/14/2006
Last updated
01/04/2023
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