Individual
MELINDA ANN BLIETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-6682
(336) 274-8097
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
(336) 274-6682
(336) 274-8097
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200200495
NC
2085R0202X
Diagnostic Radiology Physician
M1027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176678402
—
TX
Enumeration date
06/06/2006
Last updated
10/03/2025
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