# YOUR DIABETES ENDOCRINE NUTRITION GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487890893
- **Authorized official:** DANIEL WEISS M.D. (PRESIDENT)
- **Authorized official phone:** (440) 266-5000

## Contact information

- **Practice address:** 8300 TYLER BLVD, STE 102, MENTOR, OH 44060-4217
- **Practice address phone:** (440) 266-5000
- **Practice address fax:** (440) 266-5004
- **Mailing address:** 16101 SNOW RD, STE 102, CLEVELAND, OH 44142-2817
- **Mailing address phone:** (216) 898-1633

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 35053498 | OH | Yes |

## Other

- **Enumeration date:** 01/07/2009
- **Last updated:** 02/25/2021