Organization
BACK WELLNESS CENTER PC
Active
Other names
James J Woda DC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JOSEPH WODA DC (OWNER)
(313) 724-8925
Entity
Organization
Contact information
Practice address
23100 CHERRY HILL ST STE 4, DEARBORN, MI 48124-1449
(313) 724-8925
(313) 724-8926
Mailing address
23100 CHERRY HILL ST STE 4, DEARBORN, MI 48124-1449
(313) 724-8925
(313) 724-8926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007303
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H25371
BCBS
MI
05
—
3489405
—
MI
Enumeration date
06/08/2011
Last updated
12/11/2024
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