DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. DANIEL JOHN WATTENDORF, M.D.

Active

DR. DANIEL JOHN WATTENDORF, M.D. is a Thoracic Surgery healthcare provider located in KEESLER AFB, Mississippi. NPI 1760496178 is currently active in the NPPES registry. Verify at CMS.

Thoracic Surgery · KEESLER AFB, MS

Registration Details

NPI Number
1760496178
Provider Type
Individual
Gender
Male
NPI Issued
Jul 28, 2006 (20.010614058603 yrs)
Last Updated
Sep 11, 2025
Licenses
MD067656L (PA)
MD067656L (PA)
MD067656L (PA)

Practice Information

Address
301 FISHER ST
RM 1A132
KEESLER AFB, MS, 395342159
Browse MS providers · Browse ZIP 39534
Phone
2283776393
Fax
2283776304
Primary Specialty
Thoracic Surgery
207SC0300X
Additional Specialty
Thoracic Surgery
Additional Specialty
Geriatric Psychiatry

Other Thoracic Surgery Providers in KEESLER AFB, MS

Name Credential NPI
DAVID T RIGDON 1952802795
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.