Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRAND LAKE MEDICAL AND WELLNESS CORP
Active OrganizationGRAND LAKE MEDICAL AND WELLNESS CORP is a Pain Clinic organization located in SALLISAW, Oklahoma. NPI 1336706118 is currently active in the NPPES registry. Verify at CMS.
Pain Clinic · SALLISAW, OK
Registration Details
- NPI Number
- 1336706118
- Provider Type
- Organization
- NPI Issued
- May 28, 2019 (7.2373892336068 yrs)
- Last Updated
- May 28, 2019
Practice Information
- Address
-
101 W QUESENBURY AVESALLISAW, OK, 749553613Browse OK providers · Browse ZIP 74955
- Phone
- 9182356877
- Primary Specialty
-
Pain Clinic
261QP3300X
- Additional Specialty
- Pain Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.