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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

NPI Number 1013959766
LBN Legal business name ADVANCED HEALTH AND WELLNESS MEDICAL CENTER, SC
Authorized official RAYMOND JANUSZ - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
WI License # 1238046
WI License # 2411012
WI License # 27806021
WI License # 37239
WI License # 3936012
WI License # 642024
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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