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

Mario Jon Giacobassi, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821783218

Mario Jon Giacobassi, MD is a Student in an Organized Health Care Education/Training Program in Madison, Wisconsin. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1102 S Park St
Madison, WI 53715-1708
Phone: (608) 263-3111
Fax: (608) 263-6663
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1821783218
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2023
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023
Mailing address610 N Whitney Way, Ste 200, Madison, WI 53705-2700

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