Individual provider · Type 1 NPI

Charles Joseph Wine, MD

Otolaryngology Physician · Tahlequah, OK

NPI number 1740403088 Active

Practice location

100 S Bliss Ave
Tahlequah, OK 74464-2512

Call (918) 458-3360 Map

Fax (918) 458-3511

Mailing address

3117 Hickory Stick Rd
Oklahoma City, OK 73120-6001

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X9465 (OK)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1740403088

Charles Joseph Wine, MD's National Provider Identifier is 1740403088, issued on Apr 11, 2007. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Tahlequah, OK. The record was last updated on Jul 9, 2007.