# ACADIAN MEDICAL PROVIDER

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

## Provider details

- **NPI number:** 1720456866
- **Authorized official:** EQDAM N RAHDI MD (MD)
- **Authorized official phone:** (313) 399-4491

## Contact information

- **Practice address:** 1158 FORT ST, LINCOLN PARK, MI 48146-1840
- **Practice address phone:** (313) 399-4491
- **Practice address fax:** (248) 494-7440
- **Mailing address:** 1158 FORT ST, LINCOLN PARK, MI 48146-1840
- **Mailing address phone:** (313) 399-4491
- **Mailing address fax:** (248) 494-7440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 4301088706 | MI | Yes |

## Other

- **Enumeration date:** 09/07/2015
- **Last updated:** 09/07/2015