Individual
DR. JORDYN GRACE MATUSCHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2644 N 8TH ST, SHEBOYGAN, WI 53083-4921
(920) 458-3312
(920) 458-6827
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3501-35
WI
Other
Enumeration date
05/22/2018
Last updated
11/03/2023
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