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Organization
SUPPORT BROKER SERVICES, LLC
Active
Organization
SUPPORT BROKER SERVICES, LLC
Active
Other names
Support Broker Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW KENNETH NOVINSKA (SUPPORT BROKER)
(608) 692-0326
Entity
Organization
Contact information
Practice address
5409 MATHEWS RD, MIDDLETON, WI 53562-2434
(608) 692-0326
Mailing address
5409 MATHEWS RD, MIDDLETON, WI 53562-2434
(608) 692-0326
Taxonomy
Speciality
Code
Description
License number
State
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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