Individual
DR. CHRISTINA LAUREN FANOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 672-7422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
237634
MA
207RC0000X
Cardiovascular Disease Physician
247537
MA
207RC0000X
Cardiovascular Disease Physician
3940
WI
207RC0000X
Cardiovascular Disease Physician
Primary
62179
MN
Other
Enumeration date
06/24/2008
Last updated
01/02/2026
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