Individual
MELISSA MARIE BURCHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD, CGP
Contact information
Practice address
16535 W BLUEMOUND RD, SUITE 222, BROOKFIELD, WI 53005-5936
(262) 754-4910
(262) 754-4913
Mailing address
2919 BROOK RIDGE COURT NORTH, WAUKESHA, WI 53188
(262) 894-8522
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
888249
WI
Other
Enumeration date
06/11/2012
Last updated
03/12/2013
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