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

Revive Pain Clinic PC

Organization Internal Medicine Physician · NPI 1578362901

Revive Pain Clinic PC is an Internal Medicine Physician in Warren, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25932 Dequindre Rd
Warren, MI 48091-1071
Phone: (586) 256-3725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1578362901
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Oppenheimer — Md · (586) 256-3725
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing addressPo Box 3, Sterling Heights, MI 48311-0003

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