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DR. MICHAEL JAMES SMULLEN MD
NPI 1023020120
Dermatology - Dermatopathology in Green Bay, WI

Active since August 13, 2006
1239 W MASON ST, GREEN BAY, WI 54303(920) 499-0696(920) 499-0697 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael James Smullen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL JAMES SMULLEN MD (NPI 1023020120) is an individual dermatopathology provider in Green Bay, Wisconsin, licensed in Wisconsin (WI16879) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1023020120
Entity TypeIndividualMale
Primary Taxonomy207ND0900X
Provider Legal NameDR. MICHAEL JAMES SMULLENCredential: MD
Location Address1239 W MASON STGreen Bay, WI 54303-2047
Mailing Address1239 W Mason StGreen Bay, WI 54303-2047 · (920) 499-0696 · Fax (920) 499-0697
Phone(920) 499-0696
Fax(920) 499-0697
Sole ProprietorYes
Enumeration DateAugust 13, 2006
Last NPPES UpdateSeptember 22, 2010
✔ NPI 1023020120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
License✔ Licensed in WI · WI16879
Definition
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.
Also ListedDermatologyTaxonomy 207N00000X · License WI16879 (WI)
1239 W MASON ST, Green Bay, WI 54303
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Other Identifiers 3

Medicare UPINB56727
Medicaid30979400WI
Medicare ID-Type Unspecified07052WI

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL J. SMULLEN, MD
Dermatology
1239 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 499-0696
TIMOTHEA A MASSART D.C.
Chiropractor
1239 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 884-6100
DR. JESSICA GONZALEZ MONROE DC
Chiropractor
1239 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 884-6100
MASSART CHIROPRACTIC SC
Chiropractor
1239 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 884-6100
MITCHELL BLUML DC
Chiropractor
1239 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 884-6100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Smullen's NPI number?

The NPI number for Michael Smullen is 1023020120. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Michael Smullen located?

Michael Smullen practices at 1239 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 499-0696.

What is Michael Smullen's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

When was this NPI record last updated?

The NPPES record for Michael Smullen was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.