# ADVANCED HEALTH AND WELLNESS MEDICAL CENTER, SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013959766
- **Authorized official:** DR. RAYMOND M JANUSZ D.C. (PRESIDENT)
- **Authorized official phone:** (414) 643-6000

## Contact information

- **Practice address:** 3113 S 13TH ST, MILWAUKEE, WI 53215-4609
- **Practice address phone:** (414) 643-6000
- **Practice address fax:** (414) 643-1352
- **Mailing address:** PO BOX 670, BROOKFIELD, WI 53008-0670
- **Mailing address phone:** (414) 643-6000
- **Mailing address fax:** (414) 643-1352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2411012 | WI | — |
| 111N00000X | Chiropractor | 3936012 | WI | — |
| 207Q00000X | Family Medicine Physician | 27806021 | WI | — |
| 207R00000X | Internal Medicine Physician | 37239 | WI | Yes |
| 225100000X | Physical Therapist | 642024 | WI | — |
| 225700000X | Massage Therapist | 1238046 | WI | — |

## Other

- **Enumeration date:** 06/10/2006
- **Last updated:** 09/11/2025
