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Charles J Shanley, MD
Vascular Surgery Physician in Grosse Pointe, Michigan
NPI 1689614141

Charles J Shanley is a Vascular Surgery Physician based in Southfield, MI and is specialized in Vascular Surgery. Charles J Shanley practices in Grosse Pointe, MI and has the professional credentials of MD. The NPI Number for Charles J Shanley is 1689614141 and holds a License No. 4301051382 (Michigan).

The current practice location address for Charles J Shanley is 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI and can be reached out via phone at 313-473-4690 and via fax at 248-551-3023.

Location: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI, 48033-3849
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689614141
Provider Name
Charles J Shanley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
16815 E Jefferson Ave Ste 240, Grosse Pointe, MI, 48033-3849
Phone Number
313-473-4690
Fax Number
248-551-3023
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
16815 E Jefferson Ave Ste 240
City
Grosse Pointe
State
Michigan
Zip
48230-1923
Phone Number
313-473-4690
Fax Number
248-551-3023
person
Provider Business Mailing Address Details
Address
16815 E Jefferson Ave Ste 240
City
Grosse Pointe
State
Michigan
Zip
48230-1923
Phone Number
313-473-4690
Fax Number
248-551-3023
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
4301051382 (Michigan)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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