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Organization
VANGUARD REHAB
Active
Organization
VANGUARD REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA A MAFIAH MD (MANAGING EMPLOYEE)
(313) 580-1774
Entity
Organization
Contact information
Practice address
44932 FORD RD STE 423, CANTON, MI 48187-3357
(313) 580-1774
(313) 800-7586
Mailing address
44932 FORD RD STE 423, CANTON, MI 48187-3357
(313) 580-1774
(313) 800-7586
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
04/01/2025
Last updated
05/01/2026
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