# VANGUARD REHAB

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

## Provider details

- **NPI number:** 1265236202
- **Authorized official:** MELISSA A MAFIAH MD (MANAGING EMPLOYEE)
- **Authorized official phone:** (313) 580-1774

## Contact information

- **Practice address:** 44932 FORD RD STE 423, CANTON, MI 48187-3357
- **Practice address phone:** (313) 580-1774
- **Practice address fax:** (313) 800-7586
- **Mailing address:** 44932 FORD RD STE 423, CANTON, MI 48187-3357
- **Mailing address phone:** (313) 580-1774
- **Mailing address fax:** (313) 800-7586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/01/2025
- **Last updated:** 05/01/2026
