Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

James H. Andrisevic, MD

Individual provider Surgery Physician · NPI 1053357004

James H. Andrisevic, MD is a Surgery Physician in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4570 W 77th St Ste 235
Edina, MN 55435-5008
Phone: (952) 832-0805
Fax: (952) 832-5597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 23231 (MN)

Record details

NPI number1053357004
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESMarch 7, 2023

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