Benjamin Mandel
Surgeon Plastic and Reconstructive Surgery
2003 Kootenai Health Way
Coeur D Alene
, Idaho 83814-6051
Benjamin Mandel
Surgeon Plastic and Reconstructive Surgery
2003 Kootenai Health Way
Coeur D Alene
, Idaho 83814-6051
(208) 625-4333
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About
Features
Specialties
- Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Benjamin Mandel
- 980 W Ironwood Dr 01
- Coeur D Alene, ID
- Zip : 83814-2668
- Phone : (208) 625-4333
Second Address
- Benjamin Mandel
- 2003 Kootenai Health Way
- Coeur D Alene, ID
- Zip : 83814-6051
- Fax : (208) 625-5731
- Phone : (208) 625-5085
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 1871 | WI |
| N | 208600000X | Surgeon | 1871 | WI |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | M-12099 | ID |
National Provider Identifier
| NPI | 1306900097 |
|---|---|
| Provider Name | Benjamin Mandel |
| First Address | Coeur D Alene, ID 83814-2668 |
| Second Address | Coeur D Alene, ID 83814-6051 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/12/2006 |
| Last Update Date | 06/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.