NPI
Maxwell James Otto
NPI 1770078982
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2018-06-29
- Last updated
- 2024-12-06
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Specialties
Licenses
- License ND
- 21311
- License UT
- 13339040-1205
Location
- Practice location
- 222 N 7th St
- City
- Bismarck ND
- Postal code
- 58501-4436
- Phone
- (701) 323-5300
- Fax
- (701) 323-5886
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
General Surgeons in Bismarck, ND. 13 with this primary taxonomy in the public file.
Other NPIs in Bismarck, ND. 4,480 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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