Individual
BRE ANNA MARIE NAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
608 W BROWN ST, WAUPUN, WI 53963-1788
(920) 324-6800
Mailing address
420 E DIVISION ST, FOND DU LAC, WI 54935-4560
(920) 926-8343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
64734-20
WI
Other
Enumeration date
03/28/2014
Last updated
11/23/2020
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