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

Mrs. Maureen Reynolds Street, MD

Individual provider Family Medicine Physician · NPI 1093716052

Mrs. Maureen Reynolds Street, MD is a Family Practice in Elk Rapids, Michigan. Graduated from Michigan State University College of Human Medicine in 1995, 31 years ago. Practices with East Jordan Family Health Center, an 8-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
31
Trained at
Michigan State University College of Human Medicine
Licensed in
IL, MI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9060 N Bayshore Dr Ste 2
Elk Rapids, MI 49629-9435
Phone: (231) 498-4552
Fax: (866) 920-0420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301064260 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036126839 (IL)

Record details

NPI number1093716052
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESAugust 2, 2022
Certification dateAugust 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1995 (31 years in practice)
Group practice East Jordan Family Health Center — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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