Organization
REBECCA J COLBURN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA J COLBURN OD (OWNER)
(616) 724-7641
Entity
Organization
Contact information
Practice address
5859 28TH ST SE, GRAND RAPIDS, MI 49546-6905
(616) 949-5125
(616) 949-5843
Mailing address
10260 JORDAN RIVER DR SE, ALTO, MI 49302-9189
(616) 724-7641
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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