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Ajani Clark

NPI 1437033610 · on the registry since 2025 · sole proprietor

Practice

Address
5738 W Roosevelt Dr
Milwaukee, WI 53216
Phone
(414) 841-8295

Registry record

Primary taxonomy
343900000X
343900000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-01

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