Organization
SHANE A. BORODITSKY, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE ALEX BORODITSKY D.C. (C.E.O.)
(612) 281-3575
Entity
Organization
Contact information
Practice address
12000 ELM CREEK BLVD N, MAPLE GROVE, MN 55369-7073
(612) 281-3575
(612) 605-8257
Mailing address
PO BOX 582774, MINNEAPOLIS, MN 55458-2774
(612) 281-3575
(612) 605-8257
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
09/06/2006
Last updated
08/22/2020
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