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Austin Tyler Qualizza, PA-C
Surgical Physician Assistant in Chesterton, Indiana
NPI 1639778970

Austin Tyler Qualizza is a Surgical Physician Assistant based in Chesterton, IN and is specialized in Surgical. Austin Tyler Qualizza practices in Chesterton, IN and has the professional credentials of PA-C. The NPI Number for Austin Tyler Qualizza is 1639778970 and holds a License No. 10003133 (Indiana).

The current practice location address for Austin Tyler Qualizza is 601 Gateway Blvd N, Chesterton, IN and can be reached out via phone at 219-921-1444 and via fax at 219-921-5303.

Location: 601 Gateway Blvd N, Chesterton, IN, 46304-9658
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Provider Profile Details
NPI Number
1639778970
Provider Name
Austin Tyler Qualizza
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
601 Gateway Blvd N, Chesterton, IN, 46304-9658
Phone Number
219-921-1444
Fax Number
219-921-5303
Provider Enumeration Date
10/19/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300046175 05 IN
institution
Provider Business Practice Location Address Details
Address
601 Gateway Blvd N
City
State
Zip
46304-9658
Phone Number
219-921-1444
Fax Number
219-921-5303
person
Provider Business Mailing Address Details
Address
601 Gateway Blvd N
City
State
Zip
46304-9658
Phone Number
219-921-1444
Fax Number
219-921-5303
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
10003133 (Indiana)
Definition
Definition to come...
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