Whalio Doctors

NPI 1306900097

Benjamin Mandel, MD

Practitioner Plastic and Reconstructive Surgery Physician Coeur D Alene, ID

Practice location

Address
2003 Kootenai Health Way, Coeur D Alene, ID 83814-6051
Phone
(208) 625-5085
Fax
(208) 625-5731
Mailing address
980 W Ironwood Dr 01, Coeur D Alene, ID 83814-2668

Registered specialties (3)

Plastic and Reconstructive Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0122X Licence M-12099 (ID)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 1871 (WI)
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence M-12099 (ID)

Registry record

NPI
1306900097
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Dec 2006
Record last updated
24 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.