NPI 1053901314

Haven Spine & Pain Center PLLC

Organisation Interventional Pain Medicine Physician Grand Rapids, MI

Practice location

Address: 2680 Leonard St NE STE 3, Grand Rapids, MI 49525-6902
Phone: (616) 364-4200
Fax: (616) 364-7347

Authorised official

Name: Jack Dillon
Title: Executive Director
Phone: (312) 505-1033

Registered specialties (3)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Michigan →

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Other Anesthesiology providers in Michigan →

Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Registry record

NPI: 1053901314
Entity type: Organization
NPI issued: 21 Jan 2021
Record last updated: 9 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.