MEDICARE: JOANNA C. DORIGATTI-SPATZ-KARDOS CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	4704207356	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063528636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA C. DORIGATTI-SPATZ-KARDOS CRNA

Provider Business Mailing Address
First Line	:	18101 OAKWOOD BLVD
Second Line	:	ANESTHESIA DEPT
City	:	DEARBORN
State	:	MI
Zip	:	48124-4089
Country	:	US
Telephone Number	:	313-593-7820
Fax Number	:	313-593-8894

Provider Business Practice Location Address
First Line	:	18101 OAKWOOD BLVD
Second Line	:	ANESTHESIA DEPT
City	:	DEARBORN
State	:	MI
Zip	:	48124-4089
Country	:	US
Telephone Number	:	313-593-7820
Fax Number	:	313-593-8894

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	01/20/2026

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Directions to “ JOANNA C. DORIGATTI-SPATZ-KARDOS CRNA” Practice Location

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