# ADVANCED CARE CENTER PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1831996115
- **Authorized official:** MR. MOE WILCOX MGR (MGR)
- **Authorized official phone:** (419) 376-5856

## Contact information

- **Practice address:** 1340 S COMMERCE RD, WALLED LAKE, MI 48390-3010
- **Practice address phone:** (248) 438-6600
- **Practice address fax:** (248) 313-9210
- **Mailing address:** 1340 S COMMERCE RD, WALLED LAKE, MI 48390-3010
- **Mailing address phone:** (248) 438-6600
- **Mailing address fax:** (248) 313-9210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2025
- **Last updated:** 03/24/2026