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Organization

ADVANCED CARE MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOMINIQUE BUCK (OWNER)
(248) 348-9900
Entity
Organization

Contact information

Practice address
27780 NOVI RAOD, SUITE 104, NOVI, MI 48377
(248) 348-9900
(248) 347-3003
Mailing address
20524 W WARREN AVE, DETROIT, MI 48228-3243
(248) 348-9900
(248) 347-3003

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BCBSM
080H218220
MI
Enumeration date
07/16/2006
Last updated
05/16/2013
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