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Individual

BENJAMIN MANDEL

Active
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Individual

BENJAMIN MANDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1871
WI
208600000X
Surgery Physician
M-12099
ID
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
M-12099
ID

Other

Enumeration date
12/20/2006
Last updated
07/24/2025
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