Wattendorf, Daniel John

Wattendorf, Daniel John is an individual health care provider with primary practice located at 301 Fisher St Rm 1A132, Keesler Afb MS 39534-2159. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Clinical Cytogenetic, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wattendorf, Daniel John can be contacted via phone (228) 377-6393.

Contact Information

Primary practice address
301 Fisher St Rm 1A132 Keesler Afb MS 39534-2159
Phone: (228) 377-6393
Fax: (228) 377-6304
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD067656L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X MD067656L Pennsylvania
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD067656L Pennsylvania

Profile Details

NPI number 1760496178
LBN Legal business name Wattendorf, Daniel John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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