AUSTIN TYLER QUALIZZA

CHESTERTON, IN
NPI1639778970
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IN  10003133)
Enumeration Date2020-10-19
Last Update Date2021-05-05
Business Address
AUSTIN TYLER QUALIZZA PA-C
601 GATEWAY BLVD N
CHESTERTON, IN 46304-9658
Phone number: 219-921-1444
Mailing Address
AUSTIN TYLER QUALIZZA PA-C
601 GATEWAY BLVD N
CHESTERTON, IN 46304-9658
Phone number: 219-921-1444
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