Organization
REVIVE PAIN SOLUTIONS GRAND RAPIDS
Active
Organization
REVIVE PAIN SOLUTIONS GRAND RAPIDS
Active
Other names
Revive Pain Solutions Grand Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M. BASCH MD (SUPERVISING PHYSICIAN)
(616) 822-1509
Entity
Organization
Contact information
Practice address
6140 28TH ST SE STE 105, GRAND RAPIDS, MI 49546-6938
(616) 822-1509
Mailing address
6140 28TH ST SE STE 105, GRAND RAPIDS, MI 49546-6938
(616) 901-4218
(616) 616-7493
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/14/2025
Last updated
10/17/2025
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