Individual
DR. REBECCA J COLBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
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) 891-7280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003964
MI
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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