Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mounir Djemil, MD

Individual provider Pediatrics Physician · NPI 1053763862

Mounir Djemil, MD is a Pediatrics Physician in Grand Rapids, Michigan. Works from 2 locations. Licensed in Michigan and Wisconsin.

Licensed in
MI, WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

330 Barclay Ave NE Ste 300
Grand Rapids, MI 49503-2556
Phone: (616) 391-8810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 W Stout St, Rice Lake, WI 54868-5000 — (715) 236-4450

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301110650 (MI)
Pediatrics Physician Taxonomy 208000000X · Licence 4125 (WI)

Record details

NPI number1053763862
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2016
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

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