Individual
MAXWELL JAMES OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-5300
(701) 323-5886
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
13339040-1205
UT
208600000X
Surgery Physician
Primary
21311
ND
208C00000X
Colon & Rectal Surgery Physician
13339040-1205
UT
208C00000X
Colon & Rectal Surgery Physician
21311
ND
Other
Enumeration date
06/29/2018
Last updated
12/06/2024
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