Individual
MADELINE SOPHIA OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12446 ROAD E, OTTAWA, OH 45875-9638
(567) 376-5655
Mailing address
12446 ROAD E, OTTAWA, OH 45875-9638
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/10/2026
Last updated
08/10/2026
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