Provider Demographics
NPI:1407083629
Name:MCCAUSLAND, KATIE E (DO)
Entity Type:Individual
Prefix:DR
First Name:KATIE
Middle Name:E
Last Name:MCCAUSLAND
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1200 E MICHIGAN AVE
Mailing Address - Street 2:STE 520
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-1357
Mailing Address - Country:US
Mailing Address - Phone:517-364-5260
Mailing Address - Fax:517-364-5251
Practice Address - Street 1:1200 E MICHIGAN AVE
Practice Address - Street 2:STE 520
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-1357
Practice Address - Country:US
Practice Address - Phone:517-364-5260
Practice Address - Fax:517-364-5251
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2013-07-31
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Provider Licenses
StateLicense IDTaxonomies
MI5101018441208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1407083629Medicaid