Dr Mark Alan Koponen, MD in Grand Forks, ND - Pathology

Dr Mark Alan Koponen, MD is a Pathology - Forensic Pathology physician based in Grand Forks, North Dakota. Dr Mark Alan Koponen is licensed to practice in North Dakota (license number 11172) and his current practice location is 501 N Columbia Rd Stop 9037, Department Of Pathology, Grand Forks, North Dakota. He can be reached at his office (for appointments etc.) via phone at (701) 777-6172.

NPI number for Dr Mark Alan Koponen is 1336397553 and his current mailing address is 501 N Columbia Rd Stop 9037, Department Of Pathology, Grand Forks, North Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336397553.

Contact Information

	Dr Mark Alan Koponen, MD
	501 N Columbia Rd Stop 9037, Department Of Pathology, Grand Forks, ND 58203-2817
	(701) 777-6172
	(701) 777-3108

Physician's Profile

Full Name	Dr Mark Alan Koponen
Gender	Male
Speciality	Pathology - Forensic Pathology
Location	501 N Columbia Rd Stop 9037, Grand Forks, North Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1336397553
Provider Enumeration Date: 08/29/2008
Last Update Date: 11/30/2009

Medical Identifiers

Medical identifiers for Dr Mark Alan Koponen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336397553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZF0201X	Pathology - Forensic Pathology	11172 (North Dakota)	Primary
207ZF0201X	Pathology - Forensic Pathology	52274 (Minnesota)	Secondary
207ZF0201X	Pathology - Forensic Pathology	88-39 (New Mexico)	Secondary
207ZF0201X	Pathology - Forensic Pathology	10086 (Montana)	Secondary
207ZF0201X	Pathology - Forensic Pathology	34173 (Georgia)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Alan Koponen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Mark Alan Koponen, MD 501 N Columbia Rd Stop 9037, Department Of Pathology, Grand Forks, ND 58203-2817 Ph: (701) 777-6172	Dr Mark Alan Koponen, MD 501 N Columbia Rd Stop 9037, Department Of Pathology, Grand Forks, ND 58203-2817 Ph: (701) 777-6172

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Pathology Doctors in Grand Forks, ND

Mary Ann Sens, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1301 N Columbia Rd, Grand Forks, ND 58202 Phone: 701-777-2561
Dr. Shifteh Vahidi, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000 Fax: 701-780-4477
Heidi Ann Jess, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S Columbia Rd- Altru Hospital, Grand Forks, ND 58201 Phone: 701-780-1561 Fax: 530-891-0134
Leslie A Torgerson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000
Kevin Tyler, DO Pathology Medicare: Accepting Medicare Assignments Practice Location: 1200 S. Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-6000
Laura A Raymond, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201 Phone: 701-780-5000

Dr Mark Alan Koponen, MD - Pathology in Grand Forks, ND