Daniel Wattendorf, M.D

NPI 1760496178 · on the registry since 2006

Practice

Address: 301 Fisher St
Rm 1a132
Keesler Afb, MS 39534
Phone: (228) 377-6393
Fax: (228) 377-6304
Organisation at this address: 81st Medical Group
81st Medgrp-Keesler
Keesler Medical Center 81st Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 146

Registry record

Primary taxonomy: 207SC0300X
207SC0300X
Also registered as: 207Q00000X
207SG0201X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi