Organization
JAMES P. FRACKELTON, MD, INC
Active
Other names
Preventive Medicine Group
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ANN WENGER (MANAGER)
(440) 835-2150
Entity
Organization
Contact information
Practice address
24700 CENTER RIDGE RD, WESTLAKE, OH 44145-5636
(440) 835-0104
(440) 835-2177
Mailing address
24700 CENTER RIDGE RD, WESTLAKE, OH 44145-5636
(440) 835-0104
(440) 835-2177
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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