Andrisevic, James H.

Andrisevic, James H. is an individual health care provider with primary practice located at 4570 W 77Th St Suite 235, Edina MN 55435-5008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Andrisevic, James H. can be contacted via phone (952) 832-0805.

Contact Information

Primary practice address
4570 W 77Th St Suite 235 Edina MN 55435-5008
Phone: (952) 832-0805
Fax: (952) 832-5597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 23231 Minnesota

Profile Details

NPI number 1053357004
LBN Legal business name Andrisevic, James H.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053357004 NPPES
Minnesota Other 23231 MN LICENSE
Minnesota Other HP12805 MN LICENSE
Minnesota Other 1727004 MN LICENSE
Minnesota Other 25107 MN LICENSE
Minnesota Other 138J7AN MN LICENSE
Minnesota Other 112126 MN LICENSE
Minnesota Other 961901000016 MN LICENSE

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