Organization
ELKHORN FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMAL SYED MUZAFFAR MD (CEO)
(262) 743-1122
Entity
Organization
Contact information
Practice address
100 S WASHINGTON ST, ELKHORN, WI 53121-1732
(262) 743-1122
(262) 743-1582
Mailing address
100 S WASHINGTON ST, ELKHORN, WI 53121-1732
(262) 743-1122
(262) 743-1582
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
305S00000X
Point of Service
43819-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34151600
—
WI
Enumeration date
05/11/2007
Last updated
04/10/2019
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