| James H Andrisevic, MD | |
|
4570 W 77th St, Suite 235, Edina, MN 55435-5008 | |
| (952) 832-0805 | |
| (952) 832-5597 |
| Full Name | James H Andrisevic |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 4570 W 77th St, Edina, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053357004 | NPI | - | NPPES |
| 23231 | Other | MN | MN LICENSE |
| HP12805 | Other | MN | HEALTHPARTNERS |
| 1727004 | Other | MN | MEDICA |
| 25107 | Other | MN | AMERICA'S PPO |
| 138J7AN | Other | MN | BLUECROSS/BLUE SHIELD MN |
| 112126 | Other | MN | UCARE MN |
| 961901000016 | Other | FM | PREFERREDONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 23231 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| James H Andrisevic, MD 303 E Nicollet Blvd, Suite 300, Burnsville, MN 55337-4522 Ph: (952) 435-4140 | James H Andrisevic, MD 4570 W 77th St, Suite 235, Edina, MN 55435-5008 Ph: (952) 832-0805 |
David G Rustad, MD Surgery Medicare: Medicare Enrolled Practice Location: 7710 Computer Ave, #110, Edina, MN 55435 Phone: 952-835-9442 Fax: 952-835-9443 | |
Paul L. Benn, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146 | |
Dr. Jonathan David Witzke, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 7450 France Ave S Ste 220, Edina, MN 55435 Phone: 952-925-1111 Fax: 952-922-3446 | |
Charles P. Nicholson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146 | |
Dr. Robert Joseph Reese, DO Surgery Medicare: Not Enrolled in Medicare Practice Location: 6525 France Ave S, Suite, Edina, MN 55435 Phone: 803-808-8070 Fax: 803-808-8074 | |
George J. Nemanich, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6405 France Ave S, Suite W440, Edina, MN 55435 Phone: 952-927-7004 Fax: 952-927-5146 |