Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael J. Smullen, MD

Organization Dermatology Physician · NPI 1194148379

Michael J. Smullen, MD is a Dermatology Physician in Green Bay, Wisconsin. Registered with an NPI since 2014.

In the registry since
2014

Practice location Address checks out

1239 W Mason St
Green Bay, WI 54303-2047
Phone: (920) 499-0696
Fax: (920) 499-0697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1194148379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Smullen — Solo Practitioner · (920) 499-0696
NPI enumeratedJanuary 24, 2014
Last updated in NPPESJanuary 24, 2014
Mailing address1239 W Mason St, Green Bay, WI 54303-2047

Other providers in Green Bay