Individual provider · Type 1 NPI

Michael James Smullen, MD

Dermatopathology Physician · Green Bay, WI

NPI number 1023020120 Active

Practice location

1239 W Mason St
Green Bay, WI 54303-2047

Fax (920) 499-0697

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XWI16879 (WI)
Dermatopathology Physician Primary 207ND0900XWI16879 (WI)

Dermatopathology Physician: A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

5 other providers at this address

About NPI 1023020120

Michael James Smullen, MD's National Provider Identifier is 1023020120, issued on Aug 13, 2006. The primary taxonomy on file is Dermatopathology Physician (207ND0900X), and the practice location is in Green Bay, WI. The record was last updated on Sep 22, 2010.