Individual
MR. ADAM LEE VANSCHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
1919 LINCOLN WAY STE 415, COEUR D ALENE, ID 83814-2527
(208) 625-4595
(208) 625-4596
Mailing address
1919 LINCOLN WAY STE 415, COEUR D ALENE, ID 83814-2527
(208) 625-4595
(208) 625-4596
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8813913-1206
UT
363A00000X
Physician Assistant
PA-2324
ID
363AM0700X
Medical Physician Assistant
8813913-1206
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215365150
—
UT
Enumeration date
10/30/2013
Last updated
07/25/2025
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