# ACADIAN CLINIC PLLC

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

## Provider details

- **NPI number:** 1083119705
- **Authorized official:** DIANA EL MASRI (BILLING MANAGER)
- **Authorized official phone:** (201) 931-5713

## Contact information

- **Practice address:** 14726 CHAMPAIGN RD, ALLEN PARK, MI 48101
- **Practice address phone:** (313) 789-7966
- **Practice address fax:** (313) 789-7970
- **Mailing address:** 30700 TELEGRAPH RD STE 1536, BINGHAM FARMS, MI 48025-4590
- **Mailing address phone:** (248) 215-0048

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2018
- **Last updated:** 07/01/2018