Provider Demographics
NPI:1457846750
Name:CLAREY, AUSTIN TODD (MD)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:TODD
Last Name:CLAREY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:10010 CALUMET AVE
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-4055
Mailing Address - Country:US
Mailing Address - Phone:219-924-3450
Mailing Address - Fax:219-924-1640
Practice Address - Street 1:10010 CALUMET AVE
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-4055
Practice Address - Country:US
Practice Address - Phone:219-924-3450
Practice Address - Fax:219-924-1640
Is Sole Proprietor?:No
Enumeration Date:2018-06-28
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI43011160832085R0204X
IL125.0734702085R0204X
IN01093791A2085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology