MICHAEL B DEGRANDPRE

MECHANICSVILLE, VA
NPI1366486060
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110001114)
Enumeration Date2006-06-15
Last Update Date2008-05-05
Business Address
-- MICHAEL B DEGRANDPRE PA
8260 ATLEE RD
MECHANICSVILLE, VA 23116-1844
Phone number: 804-764-6111
Mailing Address
-- MICHAEL B DEGRANDPRE PA
PO BOX 3648
WILLIAMSBURG, VA 23187-3648
Phone number: 757-221-7111
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