Ryan Otto is a medical physician assistant in Kenosha, WI. Ryan Otto NPI is 1457004517. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1400 43RD ST
KENOSHA, WI
ZIP 53140-741
Phone: (414) 651-2814
The NPI 1457004517 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/30/2022 and was last updated on 8/17/2022.