Basic Information
| Provider Information | |||||||||
| NPI: | 1457393779 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AGLER | ||||||||
| FirstName: | STEVEN | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 68047 W TERRITORIAL RD | ||||||||
| Address2: | |||||||||
| City: | BENTON HARBOR | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490229028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2694637655 | ||||||||
| FaxNumber: | 2694633698 | ||||||||
| Practice Location | |||||||||
| Address1: | 6418 DEANS HILL RD | ||||||||
| Address2: | |||||||||
| City: | BERRIEN CENTER | ||||||||
| State: | MI | ||||||||
| PostalCode: | 491028713 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2698155500 | ||||||||
| FaxNumber: | 2698155373 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 175T00000X | Y | 193400000X SINGLE SPECIALTY GROUP |
No ID Information.