# CLEVELAND HEALTH VENTURES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CLEVELAND HEALTH VENTURES LLC
- **Other names:** Cleveland Plastic and Hand Surgery
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407195431
- **Legal business name:** CLEVELAND HEALTH VENTURES LLC
- **Authorized official:** DANIEL L. WIENS (SENIOR VICE PRESIDENT/OPERATIONS)
- **Authorized official phone:** (704) 355-0648

## Contact information

- **Practice address:** 823 E KING ST, SUITE B, KINGS MOUNTAIN, NC 28086-3186
- **Practice address phone:** (980) 487-2340
- **Practice address fax:** (980) 487-2341
- **Mailing address:** PO BOX 602406, CHARLOTTE, NC 28260-2406
- **Mailing address phone:** (980) 487-2340
- **Mailing address fax:** (980) 487-2341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | NULL | Yes |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/12/2013
- **Last updated:** 02/12/2013