Mario Jon Giacobassi, MD - Madison, WI

Mario Jon Giacobassi, MD

Student in an Organized Health Care Education/Training Program in Madison, Wisconsin

NPI 1821783218

Mario Jon Giacobassi is a Student in an Organized Health Care Education/Training Program based in Madison, WI. Mario Jon Giacobassi practices in Madison, WI and has the professional credentials of MD. The NPI Number for Mario Jon Giacobassi is 1821783218 and holds a License No. (Wisconsin).

The current practice location address for Mario Jon Giacobassi is 1102 S Park St, Madison, WI and can be reached out via phone at 608-263-3111 and via fax at 608-263-6663.

Location: 1102 S Park St, Madison, WI, 53705-2700

NPI Number

1821783218

Provider Name

Mario Jon Giacobassi

Credential

Provider Entity Type

Individual

Gender

Male

Address

1102 S Park St, Madison, WI, 53705-2700

Phone Number

608-263-3111

Fax Number

608-263-6663

Provider Enumeration Date

04/10/2023

Last Update Date

03/10/2024

Address

1102 S Park St

City

Madison

State

Wisconsin

Zip

53715-1708

Phone Number

608-263-3111

Fax Number

608-263-6663

Address

1102 S Park St

City

Madison

State

Wisconsin

Zip

53715-1708

Phone Number

608-263-3111

Fax Number

608-263-6663

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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