Organization · Type 2 NPI

Revive Sports & Spine Management

Medical Specialty Clinic/Center · Warren, MI

NPI number 1679195465 Active

Practice location

27253 Van Dyke Ave
Warren, MI 48093-2858

Mailing address

PO Box 7175
Dearborn, MI 48121-7175

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

3 other providers at this address

Other medical specialty clinic/center providers in Warren

See all in Warren →

About NPI 1679195465

Revive Sports & Spine Management's National Provider Identifier is 1679195465, issued on May 14, 2020. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Warren, MI. The record was last updated on May 14, 2020.