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Individual

DR. JOHN THOMAS CLEARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8091 TOWNSHIP LINE RD STE 206, INDIANAPOLIS, IN 46260-2495
(317) 415-1000
(317) 415-1010
Mailing address
8091 TOWNSHIP LINE RD STE 206, INDIANAPOLIS, IN 46260-2495
(317) 415-1000
(317) 415-1010

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01046890A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200156000
IN
Enumeration date
02/08/2007
Last updated
05/04/2022
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