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Dr. Daniel John Wattendorf, MD
Clinical Genetics (M.D.) Physician in Keesler Afb, Mississippi
NPI 1760496178

Daniel John Wattendorf is a Clinical Genetics (M.D.) Physician based in Keesler Afb, MS and is specialized in Clinical Genetics (M.D.). Daniel John Wattendorf practices in Keesler Afb, MS and has the professional credentials of MD. The NPI Number for Daniel John Wattendorf is 1760496178 and holds a License No. MD067656L (Mississippi).

The current practice location address for Daniel John Wattendorf is 301 Fisher St, Keesler Afb, MS and can be reached out via phone at 228-377-6393 and via fax at 228-377-6304.

Location: 301 Fisher St, Keesler Afb, MS, 39534-2159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760496178
Provider Name
Daniel John Wattendorf
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 Fisher St, Keesler Afb, MS, 39534-2159
Phone Number
228-377-6393
Fax Number
228-377-6304
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
301 Fisher St
City
Keesler Afb
State
Mississippi
Zip
39534-2159
Phone Number
228-377-6393
Fax Number
228-377-6304
person
Provider Business Mailing Address Details
Address
301 Fisher St
City
Keesler Afb
State
Mississippi
Zip
39534-2159
Phone Number
228-377-6393
Fax Number
228-377-6304
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD067656L (Pennsylvania)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Cytogenetics
Taxonomy
207SC0300X
License No.
MD067656L (Pennsylvania)
Definition
A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Genetics (M.D.)
Taxonomy
207SG0201X
License No.
MD067656L (Pennsylvania)
Definition
A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.
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