Individual
JEFFREY OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2800 CAMPUS DR STE 30, PLYMOUTH, MN 55441-2669
(763) 398-4400
Mailing address
4040 COON RAPIDS BLVD NW, SUITE 120, MINNEAPOLIS, MN 55433-4567
(763) 427-9980
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2617
MN
Other
Enumeration date
10/24/2016
Last updated
12/13/2023
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