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Organization
PEROSSA PSYCHIATRIC PRACTICE PLLC
Active
Organization
PEROSSA PSYCHIATRIC PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUNO PEROSSA MD (PSYCHIATRIST)
(865) 737-6772
Entity
Organization
Contact information
Practice address
5601 SMETANA DR, HOPKINS, MN 55343-5000
(865) 737-6772
Mailing address
400 S 4TH ST STE 410 #305330, MINNEAPOLIS, MN 55415
(865) 737-6772
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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