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Individual

MATTHEW RYAN AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4542 ELKHART RD STE 100, ELKHART, IN 46517-3572
(574) 538-4728
Mailing address
4542 ELKHART RD STE 100, ELKHART, IN 46517-3572
(574) 538-4728

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004136A
IN
152W00000X
Optometrist
4901005108
MI

Other

Enumeration date
06/13/2018
Last updated
09/28/2020
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