Individual
CAROLYN HUYEN TRIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1950 45TH ST STE 200, MUNSTER, IN 46321-3958
(219) 912-3376
(219) 529-6267
Mailing address
1950 45TH ST STE 200, MUNSTER, IN 46321-3958
(219) 912-3376
(219) 529-6267
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
1175928
TX
363A00000X
Physician Assistant
Primary
10003766A
IN
363AM0700X
Medical Physician Assistant
10003766A
IN
Other
Enumeration date
09/29/2020
Last updated
09/21/2022
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