Individual
DALE BATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
24 JOLIET ST STE 302, DYER, IN 46311-1705
(219) 852-2518
Mailing address
4160 OAKMONT CT, CROWN POINT, IN 46307-8958
(219) 662-8914
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000443A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
646689
RD #
IN
Enumeration date
05/28/2020
Last updated
05/28/2020
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