Maureen Street
CRYSTAL LAKE CLINIC PC


Address: 124 Ames St, Elk Rapids, MI 49629-9449
Phone: 2312649060

Maureen Street (NPI# 1093716052, PAC ID# 1557327038) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1093716052
PAC ID by PECOS 1557327038
Professional Enrollment ID I20041207000122
Full Name Maureen Street
Organization Legal Name CRYSTAL LAKE CLINIC PC
Address 124 Ames St
Elk Rapids
MI 49629-9449
Phone Number 2312649060
Gender F
Credential MD
Medical School MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year 1994
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 0648259010
Number of Group Practice Members 36
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
230097 MUNSON MEDICAL CENTER
231301 KALKASKA MEMORIAL HEALTH CENTER

Other Locations

Address Phone Organization
124 Ames St, Elk Rapids, MI 49629-9449 2312649060 CRYSTAL LAKE CLINIC PC
6170 Us Hwy 31 N, Williamsburg, MI 49690-9306 2316425556 CRYSTAL LAKE CLINIC PC

Organization Information

Organization Legal Name CRYSTAL LAKE CLINIC PC
Physicians 42

Physicians with the same organization

Name Specialty Organization Address
Becky Lynn Porter Nurse Practitioner Crystal Lake Clinic PC 115 E 7th St, Manton, MI 49663-9429
Danielle Koch Nurse Practitioner Crystal Lake Clinic PC 6170 Us Hwy 31 N, Williamsburg, MI 49690-9306
Emily L Fader Physician Assistant Crystal Lake Clinic PC 6227 Frankfort Hwy, Benzonia, MI 49616-8632
Karen Lynn Volas Nurse Practitioner Crystal Lake Clinic PC 1975 Stirling Dr, Interlochen, MI 49643-9264
George B Ryckman Family Medicine Crystal Lake Clinic PC 8225 Lake St, Bear Lake, MI 49614-9612
Michael F Carroll Family Medicine Crystal Lake Clinic PC 2283 E M, Suite 113, Kingsley, MI 49649-9370
Tracy Robinson Nurse Practitioner Crystal Lake Clinic PC 8225 Lake St, Bear Lake, MI 49614-9612
Jacob Flynn Family Medicine Crystal Lake Clinic PC 6227 Frankfort Hwy, Benzonia, MI 49616-8632
Ryan A Sullivan Internal Medicine Crystal Lake Clinic PC 8225 Lake St, Bear Lake, MI 49614-9612
Michelle M Macdonald Physician Assistant Crystal Lake Clinic PC 6227 Frankfort Hwy, Benzonia, MI 49616-8632

Office Location

Street Address 124 AMES ST
City ELK RAPIDS
State MI
Zip 49629-9449

Physicians in the same location

Name Specialty Organization Address
Kimberly Michelle Marino-brothers Nurse Practitioner Crystal Lake Clinic PC 124 Ames St, Elk Rapids, MI 49629-9449

Physicians in the same zip code

Name Specialty Organization Address
Jennifer A Shockley Family Medicine Elk Rapids Primary Care Plc 115 Bridge St, Elk Rapids, MI 49629-5110
Steven M Pray Family Medicine Elk Rapids Primary Care Plc 115 Bridge St, Elk Rapids, MI 49629-5110
Ann Kathryn Kuenker Family Medicine Elk Rapids Medical Clinic, P.C. 516 Bridge St, Elk Rapids, MI 49629-9701
Rhonda Lammers Physical Therapy Elk Rapids Physical Therapy PC 128 Ames St, Elk Rapids, MI 49629-9739
Patricia Gallo Physical Therapy Elk Rapids Physical Therapy PC 128 Ames St, Elk Rapids, MI 49629-9739
Julie Chestnut Physical Therapy Elk Rapids Physical Therapy PC 128 Ames St, Elk Rapids, MI 49629-9739
Lucinda Polemitis Physical Therapy Elk Rapids Physical Therapy PC 128 Ames St, Elk Rapids, MI 49629-9739

Competitor

Search similar physicians

City ELK RAPIDS
Zip Code 49629
Specialty FAMILY MEDICINE
City + Specialty ELK RAPIDS + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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