| Shane A. Boroditsky, P.a. | |
|
12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073 | |
| (612) 281-3575 | |
| (612) 605-8257 |
| Full Name | Shane A. Boroditsky, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 12000 Elm Creek Blvd N, Maple Grove, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043313828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Shane A Boroditsky |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962517870 PECOS PAC ID: 3375589104 Enrollment ID: I20050701000666 |
| Mailing Address | Practice Location Address |
|---|---|
| Shane A. Boroditsky, P.a. Po Box 582774, Minneapolis, MN 55458-2774 Ph: (612) 281-3575 | Shane A. Boroditsky, P.a. 12000 Elm Creek Blvd N, Maple Grove, MN 55369-7073 Ph: (612) 281-3575 |
Dr. Andrew Robert Coulson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 13800 83rd Way N, Suite 108, Maple Grove, MN 55369 Phone: 763-494-0828 Fax: 763-494-0856 | |
Warren D Hildreth, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6774 Queensland Ln N, Maple Grove, MN 55311 Phone: 763-773-3109 | |
Waypoint Minnesota Sports Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9325 Upland Ln N, Suite 230, Maple Grove, MN 55369 Phone: 763-315-0466 | |
Conscious Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13786 Reimer Dr N, Maple Grove, MN 55311 Phone: 763-337-4543 | |
Trillium Chiropractic & Wellness Pa Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 13700 Reimer Dr Suite 250, Maple Grove, MN 55311 Phone: 763-420-2226 | |
Mr. James Kent Nord, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 16334 County Rd 30, Maple Grove, MN 55311 Phone: 763-416-1799 Fax: 763-416-1949 |