Individual
DR. DEBORAH LYNN OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
388 N 3RD AVE, SUITE I, FRUITPORT, MI 49415-9785
(231) 865-9990
(231) 865-9991
Mailing address
388 N 3RD AVE, SUITE I, FRUITPORT, MI 49415-9785
(231) 865-9990
(231) 865-9991
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003947
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383515814
VSP
MI
01
—
900F110380
BCBS
MI
Enumeration date
11/29/2005
Last updated
11/08/2011
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