Provider Demographics
NPI:1124905260
Name:DUDZIAK, JOANN MARIE
Entity type:Individual
Prefix:MRS
First Name:JOANN
Middle Name:MARIE
Last Name:DUDZIAK
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JOANN
Other - Middle Name:MARIE
Other - Last Name:VARGYAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4884 E. 96
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125
Mailing Address - Country:US
Mailing Address - Phone:216-990-1761
Mailing Address - Fax:
Practice Address - Street 1:4884 E. 96
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125
Practice Address - Country:US
Practice Address - Phone:216-990-1761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care