Carly Diane Triebensee, PA
NPI #1093548984 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1093548984
- Entity Type
- Individual
- Name
- Carly Diane Triebensee, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Aug 26, 2024
- Last Updated
- Sep 24, 2024
Practice Location
- Address
- N2950 STATE ROAD 67
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-2655
- Phone
- (262) 245-0535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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