Basic Information
| Provider Information | |||||||||
| NPI: | 1679872592 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BLESCH | ||||||||
| FirstName: | MELINDA | ||||||||
| MiddleName: | L | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | RD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1701 SOUTH BLVD | ||||||||
| Address2: | SUITE 290 | ||||||||
| City: | ROCHESTER HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48307 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2489977900 | ||||||||
| FaxNumber: | 2489977918 | ||||||||
| Practice Location | |||||||||
| Address1: | 1701 SOUTH BLVD E | ||||||||
| Address2: | SUITE 290 | ||||||||
| City: | ROCHESTER HILLS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483076122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2489977900 | ||||||||
| FaxNumber: | 2489977918 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2011 | ||||||||
| LastUpdateDate: | 03/17/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.