Individual ProviderRobert K KreitschPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address235 Wealthy SE, Suite 100, Grand Rapids, MI 49503-5724(616) 493-9724PECOS EnrollmentBased on the most recent information from CMS, provider Robert K Kreitsch does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 34 days ago.Profile DetailsProvider ID1609882661Provider TypeIndividualFull NameKreitsch, Robert KCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/31/2006Last Updated4/6/2011Contact InformationPractice LocationPractice Address235 Wealthy SE, Suite 100, Grand Rapids, MI 49503-5724Phone(616) 493-9724Fax(616) 493-9731Mailing LocationMailing Address235 Wealthy St SE, Suite 100, Grand Rapids, MI 49503-5247Phone(616) 493-9724Fax(616) 493-9731Provider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicenseRK037552MichiganProvider IdentifiersIDDescriptionIssuerID1421535DescriptionMedicaidIssuerUnlistedMichiganIDRR250010074DescriptionOtherIssuerMEDICARE RRMichigan