REVIVE PAIN SOLUTIONS GRAND RAPIDS

GRAND RAPIDS, MI
NPI1962393306
Doing Business AsREVIVE PAIN SOLUTIONS GRAND RAPIDS
Entity TypeOrganization
Authorized ContactTHOMAS M. BASCH
Supervising Physician
616-822-1509
Organization Subpart ?No
Primary Taxonomy208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date2025-07-14
Last Update Date2025-10-17
Business Address
REVIVE PAIN SOLUTIONS GRAND RAPIDS
6140 28TH ST SE STE 105
GRAND RAPIDS, MI 49546-6938
Phone number: 616-822-1509
Mailing Address
REVIVE PAIN SOLUTIONS GRAND RAPIDS
6140 28TH ST SE STE 105
GRAND RAPIDS, MI 49546-6938
Phone number: 616-901-4218