Organization · Type 2 NPI
Charles J Shanley MD PC
Vascular Surgery Physician · Grosse Pointe, MI
NPI number
1942561428
Active
Practice location
1001 Audubon Rd
Grosse Pointe, MI 48230-1406
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.
About NPI 1942561428
Charles J Shanley MD PC's National Provider Identifier is 1942561428, issued on May 31, 2012. 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 May 31, 2012.