Individual
SEAN F ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1515 PARK AVE, COLUMBUS, WI 53925-2402
(920) 623-1200
Mailing address
1808 W BELTLINE HWY, MADISON, WI 53713-2334
(608) 280-4647
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
65852-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548559305
—
WI
Enumeration date
04/01/2011
Last updated
03/03/2023
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