Individual
MICHAEL S CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 S WHEELING AVE, STE 606, TULSA, OK 74104-5635
(918) 748-7676
Mailing address
1919 S WHEELING AVE, STE 606, TULSA, OK 74104-5635
(918) 748-7676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
H5534
TX
2086S0102X
Surgical Critical Care Physician
Primary
28445
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123647301
—
TX
Enumeration date
08/24/2005
Last updated
11/10/2017
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