Individual
DR. MICHAEL A BOLLENBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2525 ARAPAHOE AVE, SUITE E23, BOULDER, CO 80302-6720
(303) 444-1405
(303) 413-9421
Mailing address
2525 ARAPAHOE AVE, SUITE E23, BOULDER, CO 80302-6720
(303) 444-1405
(303) 413-9421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2008
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66232091
—
CO
Enumeration date
08/11/2005
Last updated
07/08/2007
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