Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. John Raymond Fenyk Jr., MD

Individual provider Dermatology Physician · NPI 1265463129

Dr. John Raymond Fenyk Jr., MD is a Dermatology in Minneapolis, Minnesota. Graduated from University of Virginia School of Medicine in 1975, 51 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
51
Trained at
University of Virginia School of Medicine
Licensed in
MN
In the registry since
2006
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

516 Delaware St SE Mmc 98
Minneapolis, MN 55455-0356
Phone: (612) 625-5656
Fax: (612) 624-6678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 23247 (MN)

Record details

NPI number1265463129
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2006
Last updated in NPPESJune 4, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
Graduated 1975 (51 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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