I've been taking my dog to Dr. Nothnagel for 4 years, and have been consistently impressed with the level of care she receives. My dog is a relatively high-strung German shepherd, and the vet is always calm and relaxed with her, which helps the dog be calm and relaxed as well. I have found the cost of services to be reasonable and the office staff always explains the charges if I have questions. They have even sent prescriptions for human-equivalent medications to Walgreen's for me so that I can save money.