Individual
BROOKELYN AGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
SUMMIT RADIOLOGY, PC, 5001 US HIGHWAY 30 W, SUITE D, FORT WAYNE, IN 46818-9701
(260) 435-7951
(260) 432-4969
Mailing address
PO BOX 80070, FORT WAYNE, IN 46898-0070
(260) 432-1568
(260) 432-4969
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008592
IN
Other
Enumeration date
11/07/2018
Last updated
12/13/2018
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