MICHAEL JAMES SMULLEN

GREEN BAY, WI
NPI1023020120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207ND0900X Dermatology, Dermatopathology
(Licence: WI  WI16879)
Additional Taxonomies207N00000X Dermatology
(Licence: WI  WI16879)
Enumeration Date2006-08-13
Last Update Date2010-09-22
Business Address
Dr. MICHAEL JAMES SMULLEN MD
1239 W MASON ST
GREEN BAY, WI 54303-2047
Phone number: 920-499-0696
Mailing Address
Dr. MICHAEL JAMES SMULLEN MD
1239 W MASON ST
GREEN BAY, WI 54303-2047
Phone number: 920-499-0696