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Shane A. Boroditsky, P.a.
Chiropractor in Maple Grove, Minnesota
NPI 1043313828

Shane A. Boroditsky, P.a. is a Chiropractor based in Minneapolis, MN. Shane A. Boroditsky, P.a. practices in Maple Grove, MN. The NPI Number for Shane A. Boroditsky, P.a. is 1043313828 and holds a License No. (Minnesota).

The current practice location address for Shane A. Boroditsky, P.a. is 12000 Elm Creek Blvd N, Maple Grove, MN and can be reached out via phone at 612-281-3575 and via fax at 612-605-8257. You can also correspond with Shane A. Boroditsky, P.a. through the mailing address at PO BOX 582774, MINNEAPOLIS, MN - 55458-2774 (mailing address contact number: 612-281-3575).

Location: 12000 Elm Creek Blvd N, Maple Grove, MN, 55458-2774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043313828
Provider Name
Shane A. Boroditsky, P.a.
Credential
Provider Entity Type
Organization
Address
12000 Elm Creek Blvd N, Maple Grove, MN, 55458-2774
Phone Number
612-281-3575
Fax Number
612-605-8257
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12000 Elm Creek Blvd N
City
Maple Grove
State
Minnesota
Zip
55369-7073
Phone Number
612-281-3575
Fax Number
612-605-8257
person
Provider Business Mailing Address Details
Address
12000 Elm Creek Blvd N
City
Maple Grove
State
Minnesota
Zip
55369-7073
Phone Number
612-281-3575
Fax Number
612-605-8257
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
()
Definition
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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