NPI 1760496178

Daniel John Wattendorf, MD

Practitioner Clinical Cytogenetics Physician Keesler Afb, MS

Practice location

Address: 301 Fisher St Rm 1a132, Keesler Afb, MS 39534-2159
Phone: (228) 377-6393
Fax: (228) 377-6304

Registered specialties (3)

Clinical Cytogenetics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SC0300X Licence MD067656L (PA)

Other Medical Genetics providers in Mississippi →

Family Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence MD067656L (PA)

Other Family Medicine providers in Mississippi →

Clinical Genetics (M.D.) Physician

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X Licence MD067656L (PA)

Registry record

NPI: 1760496178
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2006
Record last updated: 11 Sep 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.