Individual provider · Type 1 NPI

Austin Tyler Qualizza, PA-C

Surgical Physician Assistant · Chesterton, IN

NPI number 1639778970 Active

Practice location

601 Gateway Blvd N
Chesterton, IN 46304-9658

Call (219) 921-1444 Map

Fax (219) 921-5303

Other practice locations

  • 500 E 109th Ave, Crown Point, IN 46307 · (219) 921-1444
  • 833 W Lincoln Hwy Ste 110, Schererville, IN 46375-1674 · (219) 921-1444

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X10003133 (IN)

Surgical Physician Assistant: Definition to come...

77 other providers at this address

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About NPI 1639778970

Austin Tyler Qualizza, PA-C's National Provider Identifier is 1639778970, issued on Oct 19, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chesterton, IN. The record was last updated on May 20, 2025.