| Westlake Primary Care Associates | |
|
21851 Center Ridge Rd 411 Rocky River OH 44116-3976 | |
| (216) 437-0047 | |
| (206) 888-0360 |
| Full Name | Westlake Primary Care Associates |
|---|---|
| Speciality | Psychologist |
| Location | 21851 Center Ridge Rd, Rocky River, Ohio |
| Authorized Official Name and Position | Patrick J Fetters (DOCTOR) |
| Authorized Official Contact | 2164370047 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westlake Primary Care Associates 1502 Weymouth Cir Suite 309 Westlake OH 44145-6192 Ph: (440) 539-0219 | Westlake Primary Care Associates 21851 Center Ridge Rd 411 Rocky River OH 44116-3976 Ph: (216) 437-0047 |
| NPI Number | 1427208628 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427208628 | NPI | - | NPPES |
| 0001 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (Ohio) | Primary |
| 111N00000X | Chiropractor | (Ohio) | Secondary |
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