Individual
MACKENZIE KATKIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456
Mailing address
11175 SAND CRANE WAY, SOUTH LYON, MI 48178-8520
(734) 558-3947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704351646
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704351646
MI
Other
Enumeration date
01/09/2023
Last updated
02/16/2026
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