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Brightwave Pain Therapy, PC — NPI 1962062703, Grand Rapids, MI | NPI Central

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NPI 1962062703

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Brightwave Pain Therapy, PC

NPI 1962062703 · Pain Clinic/Center · Grand Rapids, MI

Provider details

NPI number: 1962062703
Entity type: Organization
Primary specialty: Pain Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Donald Willman, President(616) 608-5551

Specialties & taxonomies

Pain Clinic/CenterPrimary261QP3300X
Ambulatory Health Care Facilities

Practice location

751 Kenmoor Ave Se

Grand Rapids, MI 49546-2388

Phone: (616) 608-5551

Approximate (ZIP-level) locationGet directions

More MI providers

Mailing address

751 Kenmoor Ave Se

Grand Rapids, MI 49546-2388

Other names (DBA / former)

Doing business as: Brightwave Pain Therapy

Registry dates

Enumerated: 2019-06-14
Last updated: 2019-06-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.