SearchWisconsinDermatopathology Physician

Michael Smullen, MD

NPI 1023020120 · on the registry since 2006 · sole proprietor

Practice

Address
1239 W Mason St
Green Bay, WI 54303
Phone
(920) 499-0696
Fax
(920) 499-0697
Organisation at this address
Michael J. Smullen, Md
Massart Chiropractic Sc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Dermatopathology Physician
207ND0900X
Also registered as
Dermatology Physician
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-09-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin