Individual
CONNOR GEMLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Mailing address
1111 LEFFINGWELL AVE NE, GRAND RAPIDS, MI 49525-6406
(616) 459-7101
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5601011084
MI
363A00000X
Physician Assistant
Primary
5601011084
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2020
Last updated
03/16/2026
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