Provider Demographics
NPI:1558657726
Name:CLARY, ANDREW M (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:M
Last Name:CLARY
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Gender:M
Credentials:DO
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Mailing Address - Street 1:38500 TANGER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANCH
Mailing Address - State:MN
Mailing Address - Zip Code:55056-5402
Mailing Address - Country:US
Mailing Address - Phone:651-337-8201
Mailing Address - Fax:651-337-8211
Practice Address - Street 1:38500 TANGER DR STE 110
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-4925
Practice Address - Country:US
Practice Address - Phone:440-821-7325
Practice Address - Fax:651-337-8211
Is Sole Proprietor?:No
Enumeration Date:2011-06-25
Last Update Date:2025-12-24
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Provider Licenses
StateLicense IDTaxonomies
MN61695208VP0014X
PAOT014163390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine