Individual
JOSHUA FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 HIGHLAND AVE, MADISON, WI 53793-0001
(608) 263-8114
Mailing address
600 HIGHLAND AVE, MADISON, WI 53793-0001
(608) 263-8114
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
66273
WI
Other
Enumeration date
04/08/2015
Last updated
01/05/2017
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