Individual provider · Type 1 NPI
Charles J. Shanley, MD
Vascular Surgery Physician · Grosse Pointe, MI
NPI number
1689614141
Active
Practice location
16815 E Jefferson Ave Ste 240
Grosse Pointe, MI 48230-1923
Fax (248) 551-3023
Mailing address
26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | 4301051382 (MI) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
8 other providers at this address
- Basil Mohammed Dudar, MDCardiovascular Disease Physician Grosse Pointe, MI NPI 1407804958
- Dustin Baker, MDSurgery Physician Grosse Pointe, MI NPI 1255744546
- Megan Hutchins D'john, DOSurgery Physician Grosse Pointe, MI NPI 1720434244
- Michael C. Coello, MDSurgery Physician Grosse Pointe, MI NPI 1558497206
- Ryan Soheim, MDSurgery Physician Grosse Pointe, MI NPI 1982265955
- Salina Noble Thomas, FNP-BCFamily Nurse Practitioner Grosse Pointe, MI NPI 1457791790
- Steven D. Rimar, MDVascular Surgery Physician Grosse Pointe, MI NPI 1205818994
- Zaid Al-Wahab, MDGynecologic Oncology Physician Grosse Pointe, MI NPI 1932300290
Other vascular surgery physician providers in Grosse Pointe
About NPI 1689614141
Charles J. Shanley, MD's National Provider Identifier is 1689614141, issued on Jun 6, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Grosse Pointe, MI. The record was last updated on Oct 22, 2020.