Provider Demographics
NPI:1982833257
Name:CRANE, GENEVIEVE MARIE (MD, PHD)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:MARIE
Last Name:CRANE
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:MARIE
Other - Last Name:KRUGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2197 HARCOURT DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-4612
Mailing Address - Country:US
Mailing Address - Phone:617-283-2370
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-337-1139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY287543-NY207ZP0101X
OH35.138977207ZH0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
No207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology