Vivekanand Palavali, M.D., Hugo Lopez-Negrete, M.D., Kavitha Reddy, M.D., Daryl Damron, D.C., PA-C. The Great Lakes Spine Center is the areas only multidisciplinary spine care program. Our practice includes neurosurgery, pain management, injections, chiropractic manipulation, physical therapy, and onsite MRI. MONDAY THRU THURSDAY 8:00AM-5:00PM FRIDAY -8:00AM-4:00PM. Pain Management. Physiatry and Pain Medicine. On site MRI. Behavioral medicine. Chiropractic services. Physical therapy. Neurosurgery.