location
search-icon
person
Dr. Shane Alex Boroditsky, DC
Chiropractor in Maple Grove, Minnesota
NPI 1962517870

Shane Alex Boroditsky is a Chiropractor based in Minneapolis, MN. Shane Alex Boroditsky practices in Maple Grove, MN and has the professional credentials of DC. The NPI Number for Shane Alex Boroditsky is 1962517870 and holds a License No. 3976 (Minnesota).

The current practice location address for Shane Alex Boroditsky 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.

Location: 12000 Elm Creek Blvd N, Maple Grove, MN, 55458-2774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962517870
Provider Name
Shane Alex Boroditsky
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
12000 Elm Creek Blvd N, Maple Grove, MN, 55458-2774
Phone Number
612-281-3575
Fax Number
612-605-8257
Provider Enumeration Date
08/20/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
110238 01 MN HEALTH PARTNERS
329G7BO 01 MN BLUE CROSS / BLUE SHIELD
44-50913 01 MN MEDICA
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.
3976 (Minnesota)
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.