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Organization
MCMRD, LLC
Active
Organization
MCMRD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA MUSSELMAN RDN (LEAD RDN)
(314) 470-4422
Entity
Organization
Contact information
Practice address
10805 SUNSET OFFICE DR STE 300, SAINT LOUIS, MO 63127-1027
(314) 470-4422
Mailing address
11511 CRAGWOLD RD, SAINT LOUIS, MO 63122-7013
(314) 470-4422
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811274681
BCBS
IL
05
—
1811274681
—
MO
Enumeration date
09/28/2021
Last updated
06/08/2026
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