Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Elkhorn Family Clinic

Organization Family Medicine Physician · NPI 1164637492

Elkhorn Family Clinic provides Family Medicine Physician services in Elkhorn, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2

Practice location Address checks out

100 S Washington St
Elkhorn, WI 53121-1732
Phone: (262) 743-1122
Fax: (262) 743-1582
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Point of Service Taxonomy 305S00000X · Licence 43819-020 (WI)

Record details

NPI number1164637492
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kamal Muzaffar — Ceo · (262) 743-1122
NPI enumeratedMay 11, 2007
Last updated in NPPESApril 10, 2019
Mailing address100 S Washington St, Elkhorn, WI 53121-1732

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