JERRY M WEIDA

LAFAYETTE, IN
NPI1821083288
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  01020537)
Enumeration Date2005-09-13
Last Update Date2020-11-03
Business Address
Dr. JERRY M WEIDA MD
3005 GREENBUSH ST
LAFAYETTE, IN 47904-2435
Phone number: 765-447-3103
Mailing Address
Dr. JERRY M WEIDA MD
3005 GREENBUSH ST
LAFAYETTE, IN 47904-2435
Phone number: 765-447-3103
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