NPI 1962393306

Revive Pain Solutions Grand Rapids

Organisation Interventional Pain Medicine Physician Grand Rapids, MI

Practice location

Address: 6140 28th St SE STE 105, Grand Rapids, MI 49546-6938
Phone: (616) 822-1509

Authorised official

Name: Thomas M. Basch
Title: Supervising Physician
Phone: (616) 822-1509

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Michigan →

Registry record

NPI: 1962393306
Entity type: Organization
NPI issued: 14 Jul 2025
Record last updated: 17 Oct 2025

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.