Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Joseph Wine, MD

Individual provider Otolaryngology Physician · NPI 1740403088

Charles Joseph Wine, MD is an Otolaryngology Physician in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone: (918) 458-3360
Fax: (918) 458-3511
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 9465 (OK)

Record details

NPI number1740403088
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESJuly 9, 2007

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