Renae Machelle Otto, PA

NPI #1295696144 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1295696144
Entity Type: Individual
Name: Renae Machelle Otto, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Nov 20, 2025
Last Updated: Dec 14, 2025

Practice Location

Address: 4040 COON RAPIDS BLVD NW STE 120
City: Coon Rapids
State: Minnesota
ZIP Code: 55433-4568
Phone: (763) 427-9980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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