# JM WEIDA MD CJ SONDGERATH MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629275243
- **Authorized official:** MRS. LAURA JANE ODLE (INSURANCE SPECIALIST)
- **Authorized official phone:** (765) 447-3103

## Contact information

- **Practice address:** 3005 GREENBUSH ST, LAFAYETTE, IN 47904-2435
- **Practice address phone:** (765) 447-3103
- **Practice address fax:** (765) 449-4782
- **Mailing address:** 3005 GREENBUSH ST, LAFAYETTE, IN 47904-2435
- **Mailing address phone:** (765) 447-3103
- **Mailing address fax:** (765) 449-4782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | IN | Yes |

## Other

- **Enumeration date:** 06/28/2007
- **Last updated:** 05/19/2008