Dr. Daniel John Wattendorf
Family Doctor Clinical Genetics (M.D.)
301 Fisher St Rm 1a132
Keesler Afb
, Mississippi 39534-2159
Dr. Daniel John Wattendorf
Family Doctor Clinical Genetics (M.D.)
301 Fisher St Rm 1a132
Keesler Afb
, Mississippi 39534-2159
(228) 377-6304
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About
Features
Specialties
- Family Doctor
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Daniel John Wattendorf
- 301 Fisher St Rm 1a132
- Keesler Afb, MS
- Zip : 39534-2159
- Fax : (228) 377-6304
- Phone : (228) 377-6393
Second Address
- Dr. Daniel John Wattendorf
- 301 Fisher St Rm 1a132
- Keesler Afb, MS
- Zip : 39534-2159
- Fax : (228) 377-6304
- Phone : (228) 377-6393
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | MD067656L | PA |
| N | 207SG0201X | Clinical Genetics (M.D.) | MD067656L | PA |
National Provider Identifier
| NPI | 1760496178 |
|---|---|
| Provider Name | Dr. Daniel John Wattendorf |
| First Address | Keesler Afb, MS 39534-2159 |
| Second Address | Keesler Afb, MS 39534-2159 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.