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Organization

MCMRD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELINDA MUSSELMAN RDN (LEAD RDN)
(816) 536-4236
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
(816) 536-4236

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
04/21/2025
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