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Individual

DR. PATRICK JAMES FETTERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
N.D., PH.D

Contact information

Practice address
27445 DELLWOOD DR, WESTLAKE, OH 44145-1354
(440) 420-7064
Mailing address
231 LYME ST, BELLEVUE, OH 44811-1421
(914) 338-8377

Taxonomy

Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
175F00000X
Naturopath
Primary
NT01563
WA
207SG0205X
Ph.D. Medical Genetics Physician
85.1578658
NY
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
NT01563
WA

Other

Enumeration date
04/23/2008
Last updated
05/03/2017
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