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Search › Wisconsin › 101YM0800X

Carly Wallner

NPI 1801525795 · on the registry since 2022

Practice

Address
121 W Main St
Port Washington, WI 53074
Phone
(262) 238-8130
Organisation at this address
Ozaukee County
Ozaukee County
Ozaukee County
County Of Ozaukee
County Of Ozaukee
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YP2500X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin