Doctor Name: | MELISSA MARIE BURCHARDT |
NPI Number: | 1336401876 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, CD, CGP |
License Number: | 888249 |
Business Practice Address: | 16535 W Bluemound Rd Suite 222 Brookfield, WI - 530055936 |
Business Phone Number: | 2627544910 |
Business Fax Number: | 2627544913 |
Mailing Address: | 2919 Brook Ridge Court North, WAUKESHA |
State: | WI |
Postal Code: | 53188 |
Phone Number: | 2628948522 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2012 |
NPI Last Update Date: | 03/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 888249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |