Organization
ELECTRICAL WORKERS JOINT BOARD OF TRUSTEES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MITTELBRUN III (CEBS ADMINISTRATOR)
(586) 575-9200
Entity
Organization
Contact information
Practice address
2277 E 11 MILE RD, SUITE NUMBER 2, WARREN, MI 48092-5217
(586) 575-9200
(586) 575-9209
Mailing address
PO BOX 71337, MADISON HEIGHTS, MI 48071-0337
(586) 575-9200
(586) 575-9209
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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