| Charles Joseph Wine, MD | |
|
100 S Bliss Ave, Tahlequah, OK 74464-2512 | |
| (918) 458-3360 | |
| (918) 458-3511 |
| Full Name | Charles Joseph Wine |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 100 S Bliss Ave, Tahlequah, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740403088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 9465 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Joseph Wine, MD 3117 Hickory Stick Rd, Oklahoma City, OK 73120-6001 Ph: (405) 751-9274 | Charles Joseph Wine, MD 100 S Bliss Ave, Tahlequah, OK 74464-2512 Ph: (918) 458-3360 |
Tracey Way Childers, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1203 E Ross Byp, Suite A, Tahlequah, OK 74464 Phone: 918-453-1234 Fax: 918-453-9107 | |
Susan K Anderson, DO Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1203 E Ross Byp, Suite A, Tahlequah, OK 74464 Phone: 918-453-1234 Fax: 918-453-9107 | |
Lea Sarah Humphrey, D.O. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1203 E Ross Byp, Tahlequah, OK 74464 Phone: 918-453-1234 Fax: 918-453-9107 |