| Cwp - Princeton | |
|
601 S Fulton St Princeton WI 54968-8929 | |
| (920) 295-6271 | |
| (920) 295-4077 |
| Full Name | Cwp - Princeton |
|---|---|
| Speciality | Clinic/center - Health Service |
| Location | 601 S Fulton St, Princeton, Wisconsin |
| Authorized Official Name and Position | Eric D Jachthuber (OWNER) |
| Authorized Official Contact | 6082977452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cwp - Princeton 601 S Fulton St Princeton WI 54968-8929 Ph: (920) 295-6271 | Cwp - Princeton 601 S Fulton St Princeton WI 54968-8929 Ph: (920) 295-6271 |
| NPI Number | 1134017775 |
|---|---|
| Provider Enumeration Date | 06/24/2025 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134017775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261QH0100X | Clinic/center - Health Service | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |