Grand Lake Medical and Wellness Corp
Grand Lake Medical and Wellness Corp is a Primary Care Clinic/Center in Sallisaw, Oklahoma. Works from 2 locations. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
101 W Quesenbury AveSallisaw, OK 74955-3613
Phone: (918) 235-6877
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 302 N Greenwood Ave, Fort Smith, AR 72901-3454 — (479) 434-3600
Specialties & licences
| Pain Clinic/Center (primary) | Taxonomy 261QP3300X |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1336706118 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Serena Wilson — Owner · (918) 961-1658 |
| Other names | Serena Wilson |
| NPI enumerated | May 28, 2019 |
| Last updated in NPPES | May 28, 2019 |
| Mailing address | 58700 E 190 Rd, Fairland, OK 74343-2500 |
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Vitality Medical
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Vitality Primary Care LLC
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Wildhorse Family Practice & Urgent Care Inc
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