Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Larry L Wellendorf II, MD

Individual provider Family Medicine Physician · NPI 1790798593

Dr. Larry L Wellendorf II, MD is a Family Practice in Coeur D Alene, Idaho. Qualified in 1993, 33 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Illinois.

Years since qualifying
33
Licensed in
ID, IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2236 N Merritt Creek Loop Ste A
Coeur D Alene, ID 83814-4960
Phone: (208) 625-3670
Fax: (208) 625-3675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 520 S Eagle Rd Ste 2213, Meridian, ID 83642-6354 — (208) 706-5447
  • 650 S Randall Rd, Algonquin, IL 60102-5944 — (815) 398-9491

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MC-2626 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036091551 (IL)

Record details

NPI number1790798593
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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