Individual
MARIO CARLOS RIVERA BERNUY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
16030
ND
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
69956
MN
390200000X
Student in an Organized Health Care Education/Training Program
RS2015-0333
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
06/09/2015
Last updated
10/13/2023
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