Individual
MELANIE BIRTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
111 HUNDERTMARK RD STE 115N, CHASKA, MN 55318-1584
(402) 730-1103
Mailing address
4642 W ARM RD, SPRING PARK, MN 55384-9703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4259
MN
Other
Enumeration date
11/19/2019
Last updated
05/05/2022
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