institution
Grand Lake Medical And Wellness Corp
Pain Clinic/Center in Sallisaw, Oklahoma
NPI 1336706118

Grand Lake Medical And Wellness Corp is a Pain Clinic/Center based in Fairland, OK and is specialized in Pain. Grand Lake Medical And Wellness Corp practices in Sallisaw, OK. The NPI Number for Grand Lake Medical And Wellness Corp is 1336706118 and holds a License No. (Oklahoma).

The current practice location address for Grand Lake Medical And Wellness Corp is 101 W Quesenbury Ave, Sallisaw, OK and can be reached out via phone at 918-235-6877.

Location: 101 W Quesenbury Ave, Sallisaw, OK, 74343-2500
institution
Provider Profile Details
NPI Number
1336706118
Provider Name
Grand Lake Medical And Wellness Corp
Credential
Provider Entity Type
Organization
Address
101 W Quesenbury Ave, Sallisaw, OK, 74343-2500
Phone Number
918-235-6877
Fax Number
Provider Enumeration Date
05/28/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
101 W Quesenbury Ave
City
State
Zip
74955-3613
Phone Number
918-235-6877
Fax Number
person
Provider Business Mailing Address Details
Address
101 W Quesenbury Ave
City
State
Zip
74955-3613
Phone Number
918-235-6877
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Pain
Taxonomy
License No.
()
Definition
Definition to come...
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