DR. Shane Alex Boroditsky, D.C.

NPI #1962517870 in Maple Grove, Minnesota

Provider Information

NPI Number: 1962517870
Entity Type: Individual
Name: DR. Shane Alex Boroditsky, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Aug 20, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 12000 ELM CREEK BLVD N
Address 2: SUITE L70
City: Maple Grove
State: Minnesota
ZIP Code: 55369-7073
Phone: (612) 281-3575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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Organizations

Provider Name	Specialty	City
Shane A. Boroditsky, P.a.	Chiropractor	Maple Grove	AI Deep Dive

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