Organization
WESTLAKE PRIMARY CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK J FETTERS N.D., MSP (DOCTOR)
(216) 437-0047
Entity
Organization
Contact information
Practice address
21851 CENTER RIDGE RD, 411, ROCKY RIVER, OH 44116-3976
(216) 437-0047
(206) 888-0360
Mailing address
1502 WEYMOUTH CIR, SUITE 309, WESTLAKE, OH 44145-6192
(440) 539-0219
(206) 888-0360
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
OH
111N00000X
Chiropractor
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001
—
OH
Enumeration date
09/24/2008
Last updated
09/24/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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