Provider Demographics
NPI:1609911445
Name:MARZ, JANET PASKIEVITCH (DC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:PASKIEVITCH
Last Name:MARZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:LOUISE
Other - Last Name:PASKIEVITCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:5860 N CANTON CENTER RD STE 350
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2650
Mailing Address - Country:US
Mailing Address - Phone:734-981-1950
Mailing Address - Fax:
Practice Address - Street 1:5860 N CANTON CENTER RD STE 350
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2650
Practice Address - Country:US
Practice Address - Phone:734-945-6298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009028111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE