Jory M Burroughs, MD | |
300 State Ave, Faribault, MN 55021-6319 | |
(507) 333-3300 | |
Not Available |
Full Name | Jory M Burroughs |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 300 State Ave, Faribault, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134169246 | NPI | - | NPPES |
542471200 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 46947 (Minnesota) | Primary |
Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
Entity Name | Mayo Clinic Health System-fairmont |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
Mailing Address | Practice Location Address |
---|---|
Jory M Burroughs, MD 11207 Stonemill Farms Curv, Woodbury, MN 55129-5202 Ph: (651) 337-0402 | Jory M Burroughs, MD 300 State Ave, Faribault, MN 55021-6319 Ph: (507) 333-3300 |
Brant Dennis Barr, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 924 1st St Ne, Faribault, MN 55021 Phone: 507-333-3300 Fax: 507-333-3214 | |
Michael Seryakov, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 635 1st St Se, Faribault, MN 55021 Phone: 507-333-3300 | |
Thomas George Howell Jr., M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 924 1st St Ne, Faribault, MN 55021 Phone: 507-333-3300 Fax: 507-333-3214 |