Healthcare Provider Details

I. General information

NPI: 1679537211
Provider Name (Legal Business Name): CHARLES W ACHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6026 S HIGHLANDS AVE
MADISON WI
53705-1111
US

IV. Provider business mailing address

6026 S HIGHLANDS AVE
MADISON WI
53705-1111
US

V. Phone/Fax

Practice location:
  • Phone: 608-772-5016
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number19636
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: