Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crown OB/GYN PA

Organization Obstetrics & Gynecology Physician · NPI 1316228489

Crown OB/GYN PA is an Obstetrics & Gynecology Physician in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2056 Woodlane Dr Ste 100
Woodbury, MN 55125-2917
Phone: (651) 209-0084
Fax: (651) 209-0388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 1817 (MN)

Record details

NPI number1316228489
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jory Burroughs — President / Owner · (651) 209-0084
NPI enumeratedSeptember 2, 2011
Last updated in NPPESSeptember 18, 2012
Mailing address2056 Woodlane Dr, Suite 100, Woodbury, MN 55125-2917

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