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Contact Information

ADVANCED HEALTH AND WELLNESS MEDICAL CENTER, SC
3113 S 13TH ST
MILWAUKEE, WI53215-4609
 Phone: 414-643-6000
 Fax: 414-643-1352
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Chiropractor

111N00000X 35 Chiropractic
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Massage Therapist

225700000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ADVANCED HEALTH AND WELLNESS MEDICAL CENTER SC · (Female)

NPI Number 1013959766
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • WI License # 1238046
  • WI License # 2411012
  • WI License # 27806021
  • WI License # 37239
  • WI License # 3936012
  • WI License # 642024
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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