John Raymond Fenyk, Jr in Golden Valley - Dermatology
John Raymond Fenyk, Jr - NPI 1407912389
John Raymond Fenyk, Jr is a Dermatology in Golden Valley, Minnesota. John Raymond Fenyk, Jr practices all healthcare services and medical treatments related to Dermatology. The NPI Number for John Raymond Fenyk, Jr is 1407912389. The last update date is 2020-08-22.
John Raymond Fenyk, Jr's current location address is 5647 Duluth St, Golden Valley, Minnesota. You can contact this provider via phone number 7635458614 and fax number 7635451935. The mailing address for John Raymond Fenyk, Jr is 5647 Duluth St, Golden Valley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | John Raymond Fenyk, Jr |
|---|---|
| Address | 5647 Duluth St, Golden Valley, Minnesota |
| Phone Number | 7635458614 |
| Fax Number | 7635451935 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BUSINESS O |
|---|---|
| Authorized Official Name | Selvig L Annette |
| Telephone Number | 7635458614 |
NPI Number Detail
| NPI Number | 1407912389 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 5647 Duluth St |
|---|---|
| City | Golden Valley |
| State | Minnesota (MN) |
| Post Code | 554224054 |
| Phone Number | 7635458614 |
| Fax Number | 7635451935 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 23247 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 716001 | MN | PREFERRED ONE | |
| 04440FE | MN | BCBS | |
| 384 | MN | HEALTH PARTNERS | |
| 03-03331 | MN | MEDICA CHOICE | |
| 03-00003 | MN | MEDICA PRIMARY |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Raymond Fenyk, Jr?
The John Raymond Fenyk, Jr has been issued the NPI (National Provider Identifier) 1407912389 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where John Raymond Fenyk, Jr is geographically located?
The John Raymond Fenyk, Jr is physically situated at the following location: 5647 Duluth St, Golden Valley, MN, 554224054.
What is John Raymond Fenyk, Jr's area of expertise and its corresponding taxonomy classification?
The John Raymond Fenyk, Jr's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1407912389 to John Raymond Fenyk, Jr?
The John Raymond Fenyk, Jr received its 1407912389 assignment from the Centers for Medicare & Medicaid Services on 2006-12-28.
As of what date was the information pertaining to John Raymond Fenyk, Jr, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Raymond Fenyk, Jr, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
NPI Number: 1215930425
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