GRAND LAKE MEDICAL AND WELLNESS CORP
NPI 1336706118
Clinic/Center - Pain in Sallisaw, OK
About Grand Lake Medical And Wellness Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAND LAKE MEDICAL AND WELLNESS CORP (NPI 1336706118), doing business as Serena Wilson, is a healthcare organization registered as a pain in Sallisaw, Oklahoma and active in the NPI registry since May 2019. The organization maintains a secondary practice location in Fort Smith and lists Serena B Wilson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Grand Lake Medical And Wellness Corp's NPI number?
The NPI number for Grand Lake Medical And Wellness Corp is 1336706118. It was assigned to this organization in the NPPES registry on May 28, 2019. The provider is doing business as Serena Wilson.
Where is Grand Lake Medical And Wellness Corp located?
Grand Lake Medical And Wellness Corp is located at 101 W Quesenbury Ave, Sallisaw, OK 74955. The listed phone number is (918) 235-6877.
What is Grand Lake Medical And Wellness Corp's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.
When was this NPI record last updated?
The NPPES record for Grand Lake Medical And Wellness Corp was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
