Spencer W Fast, MD Valid NPI

Individual provider · Family Medicine Physician · Reedsburg, WI

NPI

1306990429

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

49906 (WI)

Sex

Male

Sole proprietor

No

Enumerated

2007-01-23

Last updated

2010-03-23