Individual
MORENIKE FANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 DELAWARE STREET SE, MMC 292, MINNEAPOLIS, MN 55455
(612) 626-5589
Mailing address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-4440
(602) 406-2335
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
104926
GA
2085R0202X
Diagnostic Radiology Physician
72342
MN
Other
Enumeration date
03/20/2019
Last updated
06/27/2025
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