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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