Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Daniel John Wattendorf, MD

Individual provider Family Medicine Physician · NPI 1760496178

Dr. Daniel John Wattendorf, MD is a Family Medicine Physician in Keesler AFB, Mississippi. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 Fisher St Rm 1A132
Keesler AFB, MS 39534-2159
Phone: (228) 377-6393
Fax: (228) 377-6304
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cytogenetics Physician (primary) Taxonomy 207SC0300X · Licence MD067656L (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD067656L (PA)
Clinical Genetics (M.D.) Physician Taxonomy 207SG0201X · Licence MD067656L (PA)

Record details

NPI number1760496178
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 28, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address301 Fisher St, Rm 1a132, Keesler Afb, MS 39534-2159

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