Individual
PAUL E OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
999 N 92ND ST STE C730, WAUWATOSA, WI 53226-4875
(414) 266-2786
Mailing address
PO BOX 1997, MILWAUKEE, WI 53201-1997
(414) 266-2786
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
76488-20
WI
207LP3000X
Pediatric Anesthesiology Physician
Primary
76488-20
WI
208000000X
Pediatrics Physician
76488-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
05/08/2026
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