Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles J Shanley MD PC

Organization Vascular Surgery Physician · NPI 1942561428

Charles J Shanley MD PC is a Vascular Surgery Physician in Grosse Pointe, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 Audubon Rd
Grosse Pointe, MI 48230-1406
Phone: (313) 268-7391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 4301051382 (MI)

Record details

NPI number1942561428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Shanley — Physician Owner · (313) 268-7391
NPI enumeratedMay 31, 2012
Last updated in NPPESMay 31, 2012
Mailing address1001 Audubon Rd, Grosse Pointe, MI 48230-1406

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