Individual ProviderMitchell DoerrPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansPractice Address100 Michigan St NE Ste A601, Grand Rapids, MI 49503-2560(616) 391-3777PECOS EnrollmentBased on the most recent information from CMS, provider Mitchell Doerr is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 8 days ago.Profile DetailsProvider ID1801682091Provider TypeIndividualFull NameDoerr, MitchellCredentialMDGenderMaleSole ProprietorNoEnumeration Date4/16/2025Last Updated6/19/2025Contact InformationPractice LocationPractice Address100 Michigan St NE Ste A601, Grand Rapids, MI 49503-2560Phone(616) 391-3777FaxUnlisted FaxMailing LocationMailing Address100 Michigan St NE Ste A601, Grand Rapids, MI 49503-2560Phone(616) 391-3777FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208100000XPrimaryDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicense4351054884Michigan