Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES JOSEPH WINE, M.D.
ActiveCHARLES JOSEPH WINE, M.D. is a Otolaryngology healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1740403088 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1740403088
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.318804207654 yrs)
- Last Updated
- Jul 9, 2007
- License
-
9465 (OK)
Practice Information
- Address
-
100 S BLISS AVETAHLEQUAH, OK, 744642512Browse OK providers · Browse ZIP 74464
- Phone
- 9184583360
- Fax
- 9184583511
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in TAHLEQUAH, OK
| Name | Credential | NPI |
|---|---|---|
| SUSAN K ANDERSON | DO | 1568412310 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.