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

Haven Spine & Pain Center PLLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1053901314

Haven Spine & Pain Center PLLC is a Pain Medicine (Anesthesiology) Physician in Grand Rapids, Michigan. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2680 Leonard St NE Ste 3
Grand Rapids, MI 49525-6902
Phone: (616) 364-4200
Fax: (616) 364-7347
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X
Pain Medicine Physician Taxonomy 208VP0000X

Record details

NPI number1053901314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jack Dillon — Executive Director · (312) 505-1033
NPI enumeratedJanuary 21, 2021
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021
Mailing address2680 Leonard St Ne Ste 3, Grand Rapids, MI 49525-6902

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