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Revive Sports & Spine Management
Medical Specialty Clinic/Center in Warren, Michigan
NPI 1679195465

Revive Sports & Spine Management is a Medical Specialty Clinic/Center based in Dearborn, MI and is specialized in Medical Specialty. Revive Sports & Spine Management practices in Warren, MI. The NPI Number for Revive Sports & Spine Management is 1679195465 and holds a License No. (Michigan).

The current practice location address for Revive Sports & Spine Management is 27253 Van Dyke Ave, Warren, MI and can be reached out via phone at 586-486-4520. You can also correspond with Revive Sports & Spine Management through the mailing address at PO BOX 7175, DEARBORN, MI - 48121-7175 (mailing address contact number: 313-790-3998).

Location: 27253 Van Dyke Ave, Warren, MI, 48121-7175
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679195465
Provider Name
Revive Sports & Spine Management
Credential
Provider Entity Type
Organization
Address
27253 Van Dyke Ave, Warren, MI, 48121-7175
Phone Number
586-486-4520
Fax Number
Provider Enumeration Date
05/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
27253 Van Dyke Ave
City
Warren
State
Michigan
Zip
48093-2858
Phone Number
586-486-4520
Fax Number
person
Provider Business Mailing Address Details
Address
27253 Van Dyke Ave
City
Warren
State
Michigan
Zip
48093-2858
Phone Number
586-486-4520
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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