Liberty Star Medical Ltd
Clinic/Center in Janesville, WI(View on Map)
Legal Business Name
Liberty Star Medical Ltd
NPI Number
1184973877
NPI Type
Organization
Enumeration Date
09/10/2012
Specialties
(Taxonomies)Licenses
State
Wisconsin
License Number
27454-20
Contact
Information
Purpose
Mailing
Location
Address
1905 CENTER AVE
1905 CENTER AVE
City
Janesville
Janesville
State
WI
WI
Postal Code
53546-2842
53546-2842
Country
US
US
Telephone Number
(608) 295-3670
(608) 563-4213
Authorized Official
Name
Dr. David Gattuso
Title or Position
PHYSICIAN
Telephone Number
(608) 563-4213
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/20/2012
Provider Address
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