Michael B Degrandpre, PA
Physician Assistant in Mechanicsville, VA. Individual provider (NPI-1).
NPI number1366486060
StatusActive
Last updated in NPPESFeb 17, 2026
Details
- NPI
- 1366486060
- Entity type
- Individual (NPI-1)
- Name
- Michael B Degrandpre
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2006
- Certification date
- Feb 17, 2026
- Last updated
- Feb 17, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110001114 | VA | Yes |
| 363A00000X | Physician Assistant | 0010-15582 | NC |
Practice location
8260 Atlee RdMechanicsville, VA 23116-1844
Phone 804-764-6111
Mailing address
Po Box 3648Williamsburg, VA 23187-3648
Phone 757-221-7111 · Fax 757-221-8085
Other practice locations
4800 S Croatan Hwy
Nags Head, NC 27959-9704
Nags Head, NC 27959-9704
Phone 252-449-4500
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All 34 Physician Assistant providers in Mechanicsville · All 2,033 providers in Mechanicsville
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