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

Northern Michigan Plastic Surgery PC

Organization Plastic Surgery Physician · NPI 1215460431

Northern Michigan Plastic Surgery PC is a Plastic Surgery Physician in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4020 Copper Vw Ste 122
Traverse City, MI 49684-7098
Phone: (515) 890-2357
Fax: (231) 943-2256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 4301106729 (MI)

Record details

NPI number1215460431
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Ver Steeg — Owner · (515) 890-2357
NPI enumeratedApril 5, 2017
Last updated in NPPESApril 5, 2017
Mailing addressPo Box 3140, Grand Rapids, MI 49501-3140

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