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

Mario Jonathan Bertogliat, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1801683016

Mario Jonathan Bertogliat, MD is a Student in an Organized Health Care Education/Training Program in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2025.

Licensed in
MN
In the registry since
2025
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

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 626-1596
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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 (MN)

Record details

NPI number1801683016
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address2450 Riverside Ave, Minneapolis, MN 55454-1450

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