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
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