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Organization
CLEVELAND HEALTH VENTURES LLC
Active
Organization
CLEVELAND HEALTH VENTURES LLC
Active
Parent organization
CLEVELAND HEALTH VENTURES LLC
Other names
Cleveland Plastic and Hand Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND HEALTH VENTURES LLC
Authorized official
DANIEL L. WIENS (SENIOR VICE PRESIDENT/OPERATIONS)
(704) 355-0648
Entity
Organization
Contact information
Practice address
823 E KING ST, SUITE B, KINGS MOUNTAIN, NC 28086-3186
(980) 487-2340
(980) 487-2341
Mailing address
PO BOX 602406, CHARLOTTE, NC 28260-2406
(980) 487-2340
(980) 487-2341
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
NULL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
Other
Enumeration date
02/12/2013
Last updated
02/12/2013
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