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

Dr. Paul M Smullen, MD

Individual provider Family Medicine Physician · NPI 1033234406

Dr. Paul M Smullen, MD is a Family Practice in Kewaunee, Wisconsin. Graduated from Medical College of Wisconsin in 2007, 19 years ago. Licensed in Wisconsin.

Years since qualifying
19
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1020 Marquette Dr
Kewaunee, WI 54216-1782
Phone: (920) 496-4700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 52480 (WI)

Record details

NPI number1033234406
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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