Individual
IAIN GEMMELL CHARNLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2080 44TH ST SE, KENTWOOD, MI 49508-5299
(616) 685-8100
(616) 455-5052
Mailing address
2702 BROOKLYN AVE SE, GRAND RAPIDS, MI 49507-3939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301094684
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301094684
MICHIGAN LICENSE
MI
Enumeration date
06/29/2009
Last updated
12/09/2021
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