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Dr. Michael James Smullen, MD
Dermatopathology Physician in Green Bay, Wisconsin
NPI 1023020120

Michael James Smullen is a Dermatopathology Physician based in Green Bay, WI and is specialized in Dermatopathology. Michael James Smullen practices in Green Bay, WI and has the professional credentials of MD. The NPI Number for Michael James Smullen is 1023020120 and holds a License No. WI16879 (Wisconsin).

The current practice location address for Michael James Smullen is 1239 W Mason St, Green Bay, WI and can be reached out via phone at 920-499-0696 and via fax at 920-499-0697. You can also correspond with Michael James Smullen through the mailing address at 1239 W MASON ST, GREEN BAY, WI - 54303-2047 (mailing address contact number: 920-499-0696).

Location: 1239 W Mason St, Green Bay, WI, 54303-2047
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023020120
Provider Name
Michael James Smullen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1239 W Mason St, Green Bay, WI, 54303-2047
Phone Number
920-499-0696
Fax Number
920-499-0697
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30979400 05 WI
institution
Provider Business Practice Location Address Details
Address
1239 W Mason St
City
Green Bay
State
Wisconsin
Zip
54303-2047
Phone Number
920-499-0696
Fax Number
920-499-0697
person
Provider Business Mailing Address Details
Address
1239 W Mason St
City
Green Bay
State
Wisconsin
Zip
54303-2047
Phone Number
920-499-0696
Fax Number
920-499-0697
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
-
Taxonomy
207N00000X
License No.
WI16879 (Wisconsin)
Definition
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 and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Dermatology
Speciality
Dermatopathology
Taxonomy
207ND0900X
License No.
WI16879 (Wisconsin)
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.
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