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Individual
PAUL E OTTO
Active
Individual
PAUL E OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
76488-20
WI
207LP3000X
Pediatric Anesthesiology Physician
76488-20
WI
208000000X
Pediatrics Physician
76488-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053949909
—
WI
Enumeration date
03/27/2020
Last updated
07/30/2026
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