Charles J Shanley, MD is a vascular surgery surgery in Grosse Pointe, MI with 37 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Charles J Shanley, MD NPI is 1689614141. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1987
The provider's business location address is:
16815 E JEFFERSON AVE STE 240
GROSSE POINTE, MI
ZIP 48230-923
Phone: (313) 473-4690
Fax: (248) 551-3023
The NPI 1689614141 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/6/2006 and was last updated on 10/22/2020.