Organization · Type 2 NPI

Shane A. Boroditsky, P.a.

Chiropractor · Maple Grove, MN

NPI number 1043313828 Active

Practice location

12000 Elm Creek Blvd N
Maple Grove, MN 55369-7073

Call (612) 281-3575 Map

Fax (612) 605-8257

Mailing address

PO Box 582774
Minneapolis, MN 55458-2774

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XNone listed

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1043313828

Shane A. Boroditsky, P.a.'s National Provider Identifier is 1043313828, issued on Sep 6, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Maple Grove, MN. The record was last updated on Aug 22, 2020.