Individual
AUDREY NETZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7836 W JEFFERSON BLVD STE 101, FORT WAYNE, IN 46804-4178
(260) 494-3484
(260) 969-0188
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1557
(630) 573-5000
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01096249A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2020
Last updated
06/25/2025
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