NPI 1336397553

Mark Alan Koponen, MD

Practitioner Forensic Pathology Physician Grand Forks, ND

Practice location

Address: 501 N Columbia Rd Stop 9037 Department of Pathology, Grand Forks, ND 58203-2817
Phone: (701) 777-6172
Fax: (701) 777-3108

Registered specialties (5)

Forensic Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZF0201X Licence 11172 (ND)

Other Pathology providers in North Dakota →

Forensic Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZF0201X Licence 52274 (MN)

Forensic Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZF0201X Licence 88-39 (NM)

Forensic Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZF0201X Licence 10086 (MT)

Forensic Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZF0201X Licence 34173 (GA)

Registry record

NPI: 1336397553
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Aug 2008
Record last updated: 30 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.