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Organization
YOUR DIABETES ENDOCRINE NUTRITION GROUP, INC.
Active
Organization
YOUR DIABETES ENDOCRINE NUTRITION GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL WEISS M.D. (PRESIDENT)
(440) 266-5000
Entity
Organization
Contact information
Practice address
8300 TYLER BLVD, STE 102, MENTOR, OH 44060-4217
(440) 266-5000
(440) 266-5004
Mailing address
16101 SNOW RD, STE 102, CLEVELAND, OH 44142-2817
(216) 898-1633
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
35053498
OH
Other
Enumeration date
01/07/2009
Last updated
02/25/2021
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