NPI 1053357004

James H. Andrisevic, MD

Practitioner Surgery Physician Edina, MN

Practice location

Address: 4570 W 77th St Suite 235, Edina, MN 55435-5008
Phone: (952) 832-0805
Fax: (952) 832-5597
Mailing address: 303 E Nicollet Blvd Suite 300, Burnsville, MN 55337-4522

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 23231 (MN)

Other Surgery providers in Minnesota →

Registry record

NPI: 1053357004
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2006
Record last updated: 7 Mar 2023

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.