Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elkhorn Family Clinic

Organization Family Medicine Physician · NPI 1164637492

Elkhorn Family Clinic is a Family Medicine Physician 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

Other providers in Elkhorn