person
Michael Otto, PA-C
Surgical Physician Assistant in Lima, Ohio
NPI 1639168891

Michael Otto is a Surgical Physician Assistant based in Lima, OH and is specialized in Surgical. Michael Otto practices in Lima, OH and has the professional credentials of PA-C. The NPI Number for Michael Otto is 1639168891 and holds a License No. 50001888 (Ohio).

The current practice location address for Michael Otto is 730 W Market St Ste 2K, Lima, OH and can be reached out via phone at 419-996-4011 and via fax at 419-996-4012.

Location: 730 W Market St Ste 2K, Lima, OH, 45801-4602
person
Provider Profile Details
NPI Number
1639168891
Provider Name
Michael Otto
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
730 W Market St Ste 2K, Lima, OH, 45801-4602
Phone Number
419-996-4011
Fax Number
419-996-4012
Provider Enumeration Date
10/19/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
730 W Market St Ste 2K
City
State
Zip
45801-4602
Phone Number
419-996-4011
Fax Number
419-996-4012
person
Provider Business Mailing Address Details
Address
730 W Market St Ste 2K
City
State
Zip
45801-4602
Phone Number
419-996-4011
Fax Number
419-996-4012
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
50001888 (Ohio)
Definition
Definition to come...
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