Individual provider · Type 1 NPI

Mathew Otto

Physician Assistant · Port Washington, WI

NPI number 1194130179 Active

Practice location

1475 W Grand Ave
Port Washington, WI 53074-2074

Call (262) 387-8585 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 2801 W Kinnickinnic River Pkwy # 3, Milwaukee, WI 53215-3669 · (262) 391-5659

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X3324-23 (WI)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

24 other providers at this address

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About NPI 1194130179

Mathew Otto's National Provider Identifier is 1194130179, issued on Jun 27, 2014. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Port Washington, WI. The record was last updated on Oct 1, 2026.