| Organization Name: | OTR MEDICAL ASSOCIATES |
| NPI Number: | 1558751248 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL T O'CONNOR (PHYSICIAN / OWNER) |
| Mailing Address: | 2865 N Brookfield Rd Brookfield |
| State: | WI US |
| Postal Code: | 530453026 |
| Phone Number: | 2622973657 |
| Fax Number: | |
| NPI Enumeration Date: | 02/02/2015 |
| NPI Last Update Date: | 02/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 50669-020 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |