Individual
JORY M BURROUGHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 STATE AVE, FARIBAULT, MN 55021-6319
(507) 333-3300
Mailing address
11207 STONEMILL FARMS CURV, WOODBURY, MN 55129-5202
(651) 337-0402
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46947
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
542471200
—
MN
Enumeration date
06/07/2006
Last updated
11/02/2020
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