Individual
BENJAMIN MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-5085
(208) 625-5731
Mailing address
980 W IRONWOOD DR, 01, COEUR D ALENE, ID 83814-2668
(208) 625-4333
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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