Revive Pain Solutions Grand Rapids
Revive Pain Solutions Grand Rapids is an Interventional Pain Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
6140 28th St SE Ste 105Grand Rapids, MI 49546-6938
Phone: (616) 822-1509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X |
|---|
Record details
| NPI number | 1962393306 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Basch — Supervising Physician · (616) 822-1509 |
| Other names | Revive Pain Solutions Grand Rapids |
| NPI enumerated | July 14, 2025 |
| Last updated in NPPES | October 17, 2025 |
| Certification date | October 17, 2025 |
| Mailing address | 6140 28th St Se Ste 105, Grand Rapids, MI 49546-6938 |
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