Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Borealis Plastic Surgery, PLLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1760777684

Borealis Plastic Surgery, PLLC is a Plastic and Reconstructive Surgery Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4977 Skyview Ct
Traverse City, MI 49684-6941
Phone: (231) 421-6599
Fax: (231) 421-6602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence 4301084224 (MI)

Record details

NPI number1760777684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Smith — Physician · (231) 421-6599
NPI enumeratedJune 20, 2011
Last updated in NPPESAugust 3, 2011
Mailing address4977 Skyview Ct, Traverse City, MI 49684-6941

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