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 yesterday at 10:10 AM.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