IndividualActive
Mark Koponen, M.D.
NPI 1336397553 · Forensic Pathology Physician · Grand Forks, ND
Provider details
- NPI number
- 1336397553
- Entity type
- Individual
- Primary specialty
- Forensic Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11172 (ND)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
501 N Columbia Rd Stop 9037
Department of Pathology
Grand Forks, ND 58203-2817
Phone: (701) 777-6172
Fax: (701) 777-3108
Approximate (ZIP-level) locationGet directions
Mailing address
501 N Columbia Rd Stop 9037
Grand Forks, ND 58203-2817
Registry dates
- Enumerated
- 2008-08-29
- Last updated
- 2009-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.