# PEROSSA PSYCHIATRIC PRACTICE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245931211
- **Authorized official:** DR. BRUNO PEROSSA MD (PSYCHIATRIST)
- **Authorized official phone:** (865) 737-6772

## Contact information

- **Practice address:** 5601 SMETANA DR, HOPKINS, MN 55343-5000
- **Practice address phone:** (865) 737-6772
- **Mailing address:** 400 S 4TH ST STE 410 \#305330, MINNEAPOLIS, MN 55415
- **Mailing address phone:** (865) 737-6772

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/15/2023
- **Last updated:** 03/15/2023