Organization · Type 2 NPI

Michael J. Smullen, MD

Dermatology Physician · Green Bay, WI

NPI number 1194148379 Active

Practice location

1239 W Mason St
Green Bay, WI 54303-2047

Fax (920) 499-0697

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1194148379

Michael J. Smullen, MD's National Provider Identifier is 1194148379, issued on Jan 24, 2014. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Green Bay, WI. The record was last updated on Jan 24, 2014.