Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Acadian Supreme Health Services

Organization Family Medicine Physician · NPI 1871108217

Acadian Supreme Health Services is a Family Medicine Physician in Southgate, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

12866 Fort St
Southgate, MI 48195-1060
Phone: (313) 930-0258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Multi-Specialty Clinic/Center Taxonomy 261QM1300X

Record details

NPI number1871108217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ingrid Lewis — Authorized Official/Fnp · (313) 930-0258
NPI enumeratedSeptember 12, 2020
Last updated in NPPESSeptember 12, 2020
Certification dateSeptember 12, 2020
Mailing address20831 Ridgemont Rd, Harper Woods, MI 48225-1137

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