Individual
LIBERTY JOAN ANSORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6864
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8975-023
WI
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063370641
—
WI
Enumeration date
01/13/2026
Last updated
07/27/2026
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