Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theodore William Liao, MD

Individual provider Family Medicine Physician · NPI 1184937013

Theodore William Liao, MD is a Family Practice in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 2010, 16 years ago. Practices with Cherry Street Services Inc, a 58-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Lafayette Ave SE Ste 3400
Grand Rapids, MI 49503-4650
Phone: (616) 685-6741
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301096891 (MI)

Record details

NPI number1184937013
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 20, 2010
Last updated in NPPESJuly 20, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Cherry Street Services Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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