Individual
ANNE MARIE DIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
11108 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845
(260) 266-5700
(260) 266-5910
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001472A
IN
Other
Enumeration date
05/20/2018
Last updated
11/03/2021
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