Is TOAA the direct creator of all?

Is TOAA (the character, not Stan Lee) ultimately directly responsible for the creation/existence of everything and everyone in the Marvel universe, or is he more of a deistic god?

No spiderman is

Yes, TOAA.

@johnnyz256: TOAA is Stan Lee

Yes

yep, but in DC Malcolm is not the creator. There is is The Source

I always felt like he was marvels version of the God of Christianity