Dr. Larry L Wellendorf II, MD
Family Medicine in Coeur D Alene, ID. Individual provider (NPI-1).
NPI number1790798593
StatusActive
Last updated in NPPESJul 25, 2025
Details
- NPI
- 1790798593
- Entity type
- Individual (NPI-1)
- Name
- Dr. Larry L Wellendorf II
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2006
- Certification date
- Jul 25, 2025
- Last updated
- Jul 25, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MC-2626 | ID | Yes |
| 207Q00000X | Family Medicine | 036091551 | IL |
Practice location
2236 N Merritt Creek Loop Ste ACoeur D Alene, ID 83814-4960
Phone 208-625-3670 · Fax 208-625-3675
Mailing address
2003 Kootenai Health WayCoeur D Alene, ID 83814-6051
Phone 208-625-5084
Other practice locations
650 S Randall Rd
Algonquin, IL 60102-5944
Algonquin, IL 60102-5944
Phone 815-398-9491 · Fax 815-381-7498
520 S Eagle Rd Ste 2213
Meridian, ID 83642-6354
Meridian, ID 83642-6354
Phone 208-706-5447 · Fax 208-706-5448
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