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A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI Number | 1942561428 |
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| LBN Legal business name | CHARLES J SHANLEY MD PC | ||||
| Authorized official | CHARLES SHANLEY - (PHYSICIAN OWNER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/31/2012 | ||||
| Last updated | 05/31/2012 - About 14 years ago | ||||
| Identifiers |
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CHARLES J SHANLEY MD PC
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| MI BODY CONTOUR 17000 EXECUTIVE PLAZA DR SUITE #204 DEARBORN, MI |
CHARLES J SHANLEY MD PC