DR. Michael James Smullen, MD

NPI #1023020120 in Green Bay, Wisconsin

Provider Information

NPI Number
1023020120
Entity Type
Individual
Name
DR. Michael James Smullen, MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dermatology - Dermatopathology
Credential
MD
Enumeration Date
Aug 13, 2006
Last Updated
Sep 22, 2010

Practice Location

Address
1239 W MASON ST
ZIP Code
54303-2047
Phone
(920) 499-0696

Specialties & Taxonomy Codes

Specialty
Dermatology
Dermatology - DermatopathologyDermatopathology

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