NPI 1316228489

Crown Ob/Gyn PA

Organisation Obstetrics & Gynecology Physician Woodbury, MN

Practice location

Address: 2056 Woodlane Dr Suite 100, Woodbury, MN 55125-2917
Phone: (651) 209-0084
Fax: (651) 209-0388

Authorised official

Name: Jory M Burroughs
Title: President / Owner
Phone: (651) 209-0084

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 1817 (MN)

Other Obstetrics & Gynecology providers in Minnesota →

Registry record

NPI: 1316228489
Entity type: Organization
NPI issued: 2 Sep 2011
Record last updated: 18 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.