Borealis Plastic Surgery, Pllc

NPI #1760777684 in Traverse City, Michigan

Provider Information

NPI Number
1760777684
Entity Type
Organization
Organization Name
Borealis Plastic Surgery, Pllc
Primary Specialty
Surgery - Plastic and Reconstructive Surgery
Enumeration Date
Jun 20, 2011
Last Updated
Aug 3, 2011

Practice Location

Address
4977 SKYVIEW CT
ZIP Code
49684-6941
Phone
(231) 421-6599

Authorized Official

Name
DR. ADAM BRYANT SMITH, MD
Title
PHYSICIAN
Phone
(231) 421-6599

Specialties & Taxonomy Codes

Specialty
Surgery - Plastic and Reconstructive SurgeryPlastic and Reconstructive Surgery

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