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Organization

CLEVELAND HEALTH VENTURES LLC

Active
Parent organization
KLEIN NEUROLOGY AND SLEEP
Other names
Klein Neurology and Sleep
Organization subpart
Yes

Provider details

NPI number
Legal business name
KLEIN NEUROLOGY AND SLEEP
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT OPERATIONS)
(704) 355-0648
Entity
Organization

Contact information

Practice address
823 E KING ST, KINGS MOUNTAIN, NC 28086-3186
(704) 487-7256
(704) 487-7258
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(704) 487-7256
(704) 487-7258

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5918682
NC
Enumeration date
10/12/2011
Last updated
01/25/2013
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