Charles J Shanley MD PC

NPI #1942561428 in Grosse Pointe, Michigan

Provider Information

NPI Number: 1942561428
Entity Type: Organization
Organization Name: Charles J Shanley MD PC
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: May 31, 2012
Last Updated: May 31, 2012

Practice Location

Address: 1001 AUDUBON RD
City: Grosse Pointe
State: Michigan
ZIP Code: 48230-1406
Phone: (313) 268-7391

Authorized Official

Name: CHARLES J SHANLEY, MD
Title: PHYSICIAN OWNER
Phone: (313) 268-7391

Specialties & Taxonomy Codes

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

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