1. Home
  2. Directory
  3. Minnesota
  4. Golden Valley
  5. Dermatology
  6. NPI Profile

MIDWEST DERMATOLOTY
NPI 1407912389
Dermatology in Golden Valley, MN

Active since December 28, 2006
5647 DULUTH ST, GOLDEN VALLEY, MN 55422(763) 545-8614(763) 545-1935 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Midwest Dermatoloty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST DERMATOLOTY (NPI 1407912389) is a healthcare organization registered as a dermatology in Golden Valley, Minnesota and active in the NPI registry since December 2006. The organization lists Annette L Selvig, Business Office, as its authorized official.

NPPES Registry Identity

NPI1407912389
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameJOHN RAYMOND FENYK, JR
Location Address5647 DULUTH STGolden Valley, MN 55422-4054
Mailing Address5647 Duluth StGolden Valley, MN 55422-4054 · (763) 545-8614 · Fax (763) 545-1935
Phone(763) 545-8614
Fax(763) 545-1935
Organization SubpartNo
Authorized OfficialAnnette L SelvigBusiness Office · (763) 545-8614
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407912389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in MN · 23247
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 additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
5647 DULUTH ST, Golden Valley, MN 55422
Open in Google Maps ↗

Other Names 1

Doing Business AsMidwest Dermatoloty

Other Identifiers 5

Other716001MN · Preferred One
Other03-03331MN · Medica Choice
Other04440FEMN · Bcbs
Other384MN · Health Partners
Other03-00003MN · Medica Primary

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Raymond Fenyk, Jr's NPI number?

The NPI number for John Raymond Fenyk, Jr is 1407912389. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as Midwest Dermatoloty.

Where is John Raymond Fenyk, Jr located?

John Raymond Fenyk, Jr is located at 5647 Duluth St, Golden Valley, MN 55422. The listed phone number is (763) 545-8614.

What is John Raymond Fenyk, Jr's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for John Raymond Fenyk, Jr was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.