Daniel John Wattendorf in Keesler Afb - Family Medicine
Daniel John Wattendorf - NPI 1760496178
Daniel John Wattendorf is a Family Medicine in Keesler Afb, Mississippi. Daniel John Wattendorf practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Daniel John Wattendorf is 1760496178. The last update date is 2007-07-08.
Daniel John Wattendorf's current location address is 301 Fisher St, Keesler Afb, Mississippi. You can contact this provider via phone number 2283776393 and fax number 2283776304. The mailing address for Daniel John Wattendorf is 301 Fisher St, Keesler Afb, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel John Wattendorf |
|---|---|
| Address | 301 Fisher St, Keesler Afb, Mississippi |
| Phone Number | 2283776393 |
| Fax Number | 2283776304 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1760496178 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 301 Fisher St |
|---|---|
| City | Keesler Afb |
| State | Mississippi (MS) |
| Post Code | 395342159 |
| Phone Number | 2283776393 |
| Fax Number | 2283776304 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD067656L |
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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 i |
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What is the unique 10-digit identification code issued to Daniel John Wattendorf by the Centers for Medicare & Medicaid Services?
The Daniel John Wattendorf has been assigned the NPI (National Provider Identifier) 1760496178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Daniel John Wattendorf located?
The Daniel John Wattendorf is located at 301 Fisher St, Keesler Afb, MS 395342159.
What is the area of specialization for Daniel John Wattendorf, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Daniel John Wattendorf is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Daniel John Wattendorf receive the assignment of its 1760496178 from the Centers for Medicare & Medicaid Services?
The Daniel John Wattendorf was issued its 1760496178 by the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date were the details related to Daniel John Wattendorf most recently updated or revised?
The information pertaining to Daniel John Wattendorf, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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