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

Borealis Wellness Clinic LLC

Organization Clinic/Center · NPI 1912279316

Borealis Wellness Clinic LLC is a Clinic/Center in Medford, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2012.

Licensed in
WI
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

123 W State St
Medford, WI 54451-1772
Phone: (715) 748-4333
Fax: (715) 748-6304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 4855-12 (WI)

Record details

NPI number1912279316
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Klinner — Owner · (715) 748-4433
NPI enumeratedJanuary 31, 2012
Last updated in NPPESNovember 2, 2022
Certification dateNovember 2, 2022
Mailing address123 W State St, Medford, WI 54451-1772

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