Charles J Shanley in Grosse Pointe - Vascular Surgery
Charles J Shanley - NPI 1689614141
Charles J Shanley is a Vascular Surgery in Grosse Pointe, Michigan. Charles J Shanley practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Charles J Shanley is 1689614141. The last update date is 2020-10-22.
Charles J Shanley's current location address is 16815 E Jefferson Ave Ste 240, Grosse Pointe, Michigan. You can contact this provider via phone number 3134734690 and fax number 2485513023. The mailing address for Charles J Shanley is 16815 E Jefferson Ave Ste 240, Grosse Pointe, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles J Shanley |
|---|---|
| Address | 16815 E Jefferson Ave Ste 240, Grosse Pointe, Michigan |
| Phone Number | 3134734690 |
| Fax Number | 2485513023 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1689614141 |
|---|---|
| Provider Enumeration Date | 2006-06-06 |
| Last Updated Date | 2020-10-22 |
Provider Mailing Address Detail
| Address | 16815 E Jefferson Ave Ste 240 |
|---|---|
| City | Grosse Pointe |
| State | Michigan (MI) |
| Post Code | 482301923 |
| Phone Number | 3134734690 |
| Fax Number | 2485513023 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 4301051382 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Charles J Shanley by the Centers for Medicare & Medicaid Services?
The Charles J Shanley has been issued the NPI (National Provider Identifier) 1689614141, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charles J Shanley is physically located?
The Charles J Shanley is physically situated at the following address: 16815 E Jefferson Ave Ste 240, Grosse Pointe, MI, 482301923.
What is the area of specialization for Charles J Shanley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles J Shanley is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689614141 to Charles J Shanley?
The Charles J Shanley received its 1689614141 assignment from the Centers for Medicare & Medicaid Services on 2006-06-06.
As of what date was the information regarding Charles J Shanley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles J Shanley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-10-22.