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Contact Information

JAMES H ANDRISEVIC, MD
4570 W 77TH ST
SUITE 235
EDINA, MN55435-5008
 Phone: 952-832-0805
 Fax: 952-832-5597
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for JAMES H ANDRISEVIC · (Male)

NPI Number 1053357004
Status Active
Credentials MD
Entity Individual
Enumeration date 06/20/2006
Last updated 03/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 23231
  • FM Other 961901000016 PREFERREDONE
  • MN Other 25107 AMERICA'S PPO
  • MN Other 138J7AN BLUECROSS/BLUE SHIELD MN
  • MN Other HP12805 HEALTHPARTNERS
  • MN Other 1727004 MEDICA
  • MN Other 23231 MN LICENSE
  • MN Other 112126 UCARE MN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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