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CHARLES J SHANLEY MD PC
NPI 1942561428
Surgery - Vascular Surgery in Grosse Pointe, MI

Active since May 31, 2012
1001 AUDUBON RD, GROSSE POINTE, MI 48230(313) 268-7391 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles J Shanley Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES J SHANLEY MD PC (NPI 1942561428) is a healthcare organization registered as a vascular surgery in Grosse Pointe, Michigan and active in the NPI registry since May 2012. The organization lists Charles J Shanley, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1942561428
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameCHARLES J SHANLEY MD PC
Location Address1001 AUDUBON RDGrosse Pointe, MI 48230-1406
Mailing Address1001 Audubon RdGrosse Pointe, MI 48230-1406 · (313) 268-7391
Phone(313) 268-7391
Organization SubpartNo
Authorized OfficialCharles J ShanleyPhysician Owner · (313) 268-7391
Enumeration DateMay 31, 2012
✔ NPI 1942561428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in MI · 4301051382
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
1001 AUDUBON RD, Grosse Pointe, MI 48230
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles J Shanley MD PC's NPI number?

The NPI number for Charles J Shanley MD PC is 1942561428. It was assigned to this organization in the NPPES registry on May 31, 2012.

Where is Charles J Shanley MD PC located?

Charles J Shanley MD PC is located at 1001 Audubon Rd, Grosse Pointe, MI 48230. The listed phone number is (313) 268-7391.

What is Charles J Shanley MD PC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Charles J Shanley MD PC was last updated on May 31, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.