Organization
LIBERTY STAR MEDICAL LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID BRIAN GATTUSO SR. MD (PHYSICIAN)
(608) 563-4213
Entity
Organization
Contact information
Practice address
1905 CENTER AVE, SUITE 5, JANESVILLE, WI 53546-2842
(608) 563-4213
(866) 998-1030
Mailing address
1905 CENTER AVE, SUITE 5, JANESVILLE, WI 53546-2842
(608) 295-3670
(866) 998-1030
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
27454-20
WI
Other
Enumeration date
09/10/2012
Last updated
09/20/2012
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