OrganizationActive
Center for Advanced Interventional Spine Treatment PLC
NPI 1235465683 · Pain Medicine (Anesthesiology) Physician · Holland, MI
Provider details
- NPI number
- 1235465683
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Easa, Sole Member(616) 796-6430
- License
- JE069312 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
12662 Riley St Ste 120
Holland, MI 49424-8023
Phone: (616) 796-6430
Fax: (616) 786-4324
Approximate (ZIP-level) locationGet directions
Mailing address
12662 Riley St Ste 120
Holland, MI 49424-8023
Registry dates
- Enumerated
- 2009-10-20
- Last updated
- 2010-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.