Theodore William Liao, MD | |
300 Lafayette Ave Se, Suite 3400, Grand Rapids, MI 49503-4650 | |
(616) 685-6741 | |
Not Available |
Full Name | Theodore William Liao |
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Gender | Male |
Speciality | Family Practice |
Experience | 14 Years |
Location | 300 Lafayette Ave Se, Grand Rapids, Michigan |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
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1184937013 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 4301096891 (Michigan) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cherry Street Services Inc | 6800707647 | 54 |
Entity Name | State Of Michigan Office Of Financial Management |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508883299 PECOS PAC ID: 5496650723 Enrollment ID: O20040114000603 |
Entity Name | Cherry Street Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558459164 PECOS PAC ID: 6800707647 Enrollment ID: O20040804000274 |
Mailing Address | Practice Location Address |
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Theodore William Liao, MD 300 Lafayette Ave Se, Suite 3400, Grand Rapids, MI 49503-4650 Ph: () - | Theodore William Liao, MD 300 Lafayette Ave Se, Suite 3400, Grand Rapids, MI 49503-4650 Ph: (616) 685-6741 |
Tammy Born Huizenga, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3700 52nd St Se, Grand Rapids, MI 49512 Phone: 616-656-3700 Fax: 616-656-3701 | |
Kristi Kern, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4300 Cascade Rd Se, Grand Rapids, MI 49546 Phone: 616-252-1500 Fax: 616-252-1599 | |
Melody L Fitzer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 Blackberry Ln Ne, Grand Rapids, MI 49525 Phone: 616-361-8697 | |
Leslie Ann Schulte, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2249 Wealthy St Se Ste 110, Grand Rapids, MI 49506 Phone: 616-391-4600 | |
Lucas Patrick Friedli, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4100 Lake Dr Se Ste B01, Grand Rapids, MI 49546 Phone: 616-267-7400 | |
Michael J Septer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6735 Cascade Rd Se, Suite 300, Grand Rapids, MI 49546 Phone: 616-956-9400 Fax: 616-956-9708 | |
Dr. Suzanne Michelle West, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3800 Lake Michigan Dr Nw, Ste. A, Grand Rapids, MI 49534 Phone: 616-267-8225 |