Koponen, Mark Alan
Koponen, Mark Alan is an sole proprietor health care provider with primary practice located at 501 N Columbia Rd Stop 9037 Department Of Pathology, Grand Forks ND 58203-2817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Forensic Pathology, which is considered as his primary health care specialty. Koponen, Mark Alan can be contacted via phone (701) 777-6172.Contact Information
Primary practice address
501 N Columbia Rd Stop 9037 Department Of Pathology
Grand Forks ND 58203-2817
Phone: (701) 777-6172
Fax: (701) 777-3108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 11172 | North Dakota |
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 52274 | Minnesota |
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 88-39 | New Mexico |
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 10086 | Montana |
| Allopathic & Osteopathic Physicians / Forensic Pathology | 207ZF0201X | 34173 | Georgia |
Profile Details
| NPI number | 1336397553 |
|---|---|
| LBN Legal business name | Koponen, Mark Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2008 |
| Last updated | Nov 30th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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