Organization · Type 2 NPI

Revive Pain Solutions Grand Rapids

Interventional Pain Medicine Physician · Grand Rapids, MI

NPI number 1962393306 Active

Practice location

6140 28th St SE Ste 105
Grand Rapids, MI 49546-6938

Specialties and licenses

TaxonomyCodeLicense
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

4 other providers at this address

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About NPI 1962393306

Revive Pain Solutions Grand Rapids's National Provider Identifier is 1962393306, issued on Jul 14, 2025. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 17, 2025.