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Individual

DR. MARK ALAN KOPONEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
10086
MT
207ZF0201X
Forensic Pathology Physician
Primary
11172
ND
207ZF0201X
Forensic Pathology Physician
34173
GA
207ZF0201X
Forensic Pathology Physician
52274
MN
207ZF0201X
Forensic Pathology Physician
88-39
NM

Other

Enumeration date
08/29/2008
Last updated
11/30/2009
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