Healthcare Provider Details

I. General information

NPI: 1457393779
Provider Name (Legal Business Name): STEVEN D AGLER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6418 DEANS HILL RD
BERRIEN CENTER MI
49102-8713
US

IV. Provider business mailing address

68047 W TERRITORIAL RD
BENTON HARBOR MI
49022-9028
US

V. Phone/Fax

Practice location:
  • Phone: 269-815-5500
  • Fax: 269-815-5373
Mailing address:
  • Phone: 269-463-7655
  • Fax: 269-463-3698

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: