Provider Demographics
NPI:1679872592
Name:BLESCH, MELINDA L (RD)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:L
Last Name:BLESCH
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 SOUTH BLVD
Mailing Address - Street 2:SUITE 290
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307
Mailing Address - Country:US
Mailing Address - Phone:248-997-7900
Mailing Address - Fax:248-997-7918
Practice Address - Street 1:1701 SOUTH BLVD E
Practice Address - Street 2:SUITE 290
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-6122
Practice Address - Country:US
Practice Address - Phone:248-997-7900
Practice Address - Fax:248-997-7918
Is Sole Proprietor?:No
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered