Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Liberty Star Medical Ltd

Organization Clinic/Center · NPI 1184973877

Liberty Star Medical Ltd is a Clinic/Center in Janesville, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1905 Center Ave Ste 5
Janesville, WI 53546-2842
Phone: (608) 563-4213
Fax: (866) 998-1030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 27454-20 (WI)

Record details

NPI number1184973877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Gattuso — Physician · (608) 563-4213
NPI enumeratedSeptember 10, 2012
Last updated in NPPESSeptember 20, 2012
Mailing address1905 Center Ave, Suite 5, Janesville, WI 53546-2842

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