Individual
DR. MARK ALAN KOPONEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N COLUMBIA RD STOP 9037, DEPARTMENT OF PATHOLOGY, GRAND FORKS, ND 58203-2817
(701) 777-6172
(701) 777-3108
Mailing address
501 N COLUMBIA RD STOP 9037, DEPARTMENT OF PATHOLOGY, GRAND FORKS, ND 58203-2817
(701) 777-6172
(701) 777-3108
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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