Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ken Julian Takekoshi, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1841349149

Dr. Ken Julian Takekoshi, MD is an Anatomic Pathology & Clinical Pathology Physician in Mendota Heights, Minnesota. Licensed in Illinois, Michigan, Minnesota and Wisconsin. Registered with an NPI since 2007.

Licensed in
IL, MI, MN, WI
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1766 Trail Rd
Mendota Heights, MN 55118-3730
Phone: (651) 756-0038
Fax: (651) 389-0175
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 4301076830 (MI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 56407-20 (WI)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 54291 (MN)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence 036-114264 (IL)

Record details

NPI number1841349149
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESFebruary 13, 2017

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