Organization
ADVANCED CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOE WILCOX MGR (MGR)
(419) 376-5856
Entity
Organization
Contact information
Practice address
1340 S COMMERCE RD, WALLED LAKE, MI 48390-3010
(248) 438-6600
(248) 313-9210
Mailing address
1340 S COMMERCE RD, WALLED LAKE, MI 48390-3010
(248) 438-6600
(248) 313-9210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
03/24/2026
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