# MICHELLE L CARDIN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wildhorse Pain Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063816361
- **Authorized official:** MICHELLE L CARDIN (CEO)
- **Authorized official phone:** (918) 721-1473

## Contact information

- **Practice address:** 3807 W CHEROKEE AVE, SALLISAW, OK 74955-2452
- **Practice address phone:** (918) 721-1473
- **Mailing address:** 22299 MOUNT PLEASANT RD, HOWE, OK 74940-3100
- **Mailing address phone:** (918) 721-1473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 27462 | OK | Yes |

## Other

- **Enumeration date:** 10/15/2014
- **Last updated:** 10/15/2014