Individual
MADALYN QUALIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
Mailing address
1001 CALUMET AVE, DYER, IN 46311-1596
(219) 924-8178
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003475A
IN
Other
Enumeration date
01/05/2022
Last updated
04/27/2026
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