Individual
MATTHEW SETH GRAUPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
1400 JOHNSTON WILLIS DR, SUITE A, NORTH CHESTERFIELD, VA 23235-4765
(804) 379-8088
(804) 794-6067
Mailing address
1115 BOULDERS PKWY, SUITE 200, NORTH CHESTERFIELD, VA 23225-4067
(804) 560-5595
(804) 560-9029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004015
VA
363AS0400X
Surgical Physician Assistant
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861741522
—
VA
Enumeration date
09/09/2012
Last updated
06/24/2020
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