IndividualActive
Charles Wine, M.D.
NPI 1740403088 · Otolaryngology Physician · Tahlequah, OK
Provider details
- NPI number
- 1740403088
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 9465 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone: (918) 458-3360
Fax: (918) 458-3511
Approximate (ZIP-level) locationGet directions
Mailing address
3117 Hickory Stick Rd
Oklahoma City, OK 73120-6001
Registry dates
- Enumerated
- 2007-04-11
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.