Provider Demographics
NPI:1922646116
Name:VILLAGE WELLNESS CENTER PLLC
Entity Type:Organization
Organization Name:VILLAGE WELLNESS CENTER PLLC
Other - Org Name:VWC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:MARZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-981-1950
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:734-981-1950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-18
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty