GRAND LAKE MEDICAL AND WELLNESS CORP is a pain clinic center in Sallisaw, OK. GRAND LAKE MEDICAL AND WELLNESS CORP NPI is 1336706118. The provider is registered as an organization entity type.
The provider's business location address is:
101 W QUESENBURY AVE
SALLISAW, OK
ZIP 74955-613
Phone: (918) 235-6877
The provider's authorized official is Serena B Wilson .
The authorized official title is Owner and has the following contact phone number (918) 961-1658.
The enumeration date for this NPI number is 5/28/2019 and was last updated on 5/28/2019.