Provider Demographics
NPI:1235274762
Name:OAKLAND BONE & JOINT SURGERY P.C.
Entity Type:Organization
Organization Name:OAKLAND BONE & JOINT SURGERY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:248-334-4450
Mailing Address - Street 1:44038 WOODWARD AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-5035
Mailing Address - Country:US
Mailing Address - Phone:248-334-4450
Mailing Address - Fax:248-334-9570
Practice Address - Street 1:44038 WOODWARD AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-5035
Practice Address - Country:US
Practice Address - Phone:248-334-4450
Practice Address - Fax:248-334-9570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1929248Medicaid
MI9630037Medicare ID - Type Unspecified
MI1929248Medicaid