Organization
CLEVELAND HEALTH VENTURES LLC
Active
Parent organization
CLEVELAND HEALTH VENTURES LLC
Other names
Casp Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND HEALTH VENTURES LLC
Authorized official
DANIEL L. WIENS (SR. VICE PRESIDENT)
(704) 355-0648
Entity
Organization
Contact information
Practice address
668 POORS FORD RD, RUTHERFORDTON, NC 28139-9208
(828) 287-4840
Mailing address
PO BOX 602142, CHARLOTTE, NC 28260-2142
(828) 287-4840
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
07/20/2009
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