Organization
CLEVELAND HEALTH VENTURES LLC
Active
Parent organization
CLEVELAND HEALTH VENTURES LLC
Other names
Cleveland Endocrinology
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND HEALTH VENTURES LLC
Authorized official
MR. DANIEL L WIENS (SENIOR VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
510 W KING ST, SUITE C, KINGS MOUNTAIN, NC 28086-3310
(980) 487-2270
(704) 734-0379
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(980) 487-2270
(704) 734-0379
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913029
—
NC
05
—
NPB319
—
SC
Enumeration date
06/18/2009
Last updated
01/25/2013
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