Provider Demographics
NPI:1043265606
Name:LIMBERT, ANDREW BRUCE (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:BRUCE
Last Name:LIMBERT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44038 WOODWARD AVE
Mailing Address - Street 2:SUITE 100
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 100
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101006904207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1949248Medicaid
MI1949248Medicaid
E25502Medicare UPIN