Individual provider · Type 1 NPI
Benjamin Mandel, MD
Plastic and Reconstructive Surgery Physician · Coeur D Alene, ID
NPI number
1306900097
Active
Practice location
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Fax (208) 625-5731
Mailing address
980 W Ironwood Dr, 01
Coeur D Alene, ID 83814-2668
Other practice locations
- 980 W Ironwood Dr Ste 1, Coeur D Alene, ID 83814-2617 · (208) 625-4333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 1871 (WI) |
| Surgery Physician | 208600000X | M-12099 (ID) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | M-12099 (ID) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1306900097
Benjamin Mandel, MD's National Provider Identifier is 1306900097, issued on Dec 20, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jul 24, 2025.