NPI 1336401876

Melissa Marie Burchardt, RDCDCGP

Practitioner Registered Dietitian Brookfield, WI

Practice location

Address: 16535 W Bluemound Rd Suite 222, Brookfield, WI 53005-5936
Phone: (262) 754-4910
Fax: (262) 754-4913
Mailing address: 2919 Brook Ridge Court North, Waukesha, WI 53188

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 888249 (WI)

Other Dietitian, Registered providers in Wisconsin →

Registry record

NPI: 1336401876
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2012
Record last updated: 12 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.