Search › Wisconsin › 103TC0700X
Ajeng Puspitasari, PHD
NPI 1346769759 · on the registry since 2017
Practice
- Address
- 2153 N Dr Martin Luther King Dr Ste 2500
Milwaukee, WI 53212 - Phone
- (414) 955-7276
- Fax
- (414) 955-0146
Additional practice sites
- 200 1st St Sw, Rochester, MN
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- WI, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin