Individual
MRS. JENNIFER LYNN MELCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8241 W HIGHLANDER DR, MEQUON, WI 53097-3418
(630) 699-2177
Mailing address
8241 W HIGHLANDER DR, MEQUON, WI 53097-3418
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86053526
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87-2906706
NONE
WI
Enumeration date
10/13/2022
Last updated
10/13/2022
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