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Organization

VANGUARD REHAB

Active
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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
261QR0400X
Rehabilitation Clinic/Center

Other

Enumeration date
04/01/2025
Last updated
05/01/2026
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