Charles J Shanley, MD

NPI #1689614141 in Grosse Pointe, Michigan

Provider Information

NPI Number: 1689614141
Entity Type: Individual
Name: Charles J Shanley, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Surgery - Vascular Surgery
Credential: MD
Enumeration Date: Jun 6, 2006
Last Updated: Oct 22, 2020

Practice Location

Address: 16815 E JEFFERSON AVE STE 240
City: Grosse Pointe
State: Michigan
ZIP Code: 48230-1923
Phone: (313) 473-4690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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Organizations

Provider Name	Specialty	City
Charles J Shanley MD PC	Surgery - Vascular Surgery	Grosse Pointe	AI Deep Dive

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