NPI 1720499759

Ryan William Clark, DO

Practitioner Interventional Pain Medicine Physician Green Bay, WI

Practice location

Address: 2845 Greenbrier Rd, Green Bay, WI 54311-6519
Phone: (920) 288-8377
Fax: (920) 288-8385
Mailing address: 1035 Kepler Dr, Green Bay, WI 54311-8320

Registered specialties (3)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 67188 (WI)

Other Pain Medicine providers in Wisconsin →

Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 67188 (WI)

Physical Medicine & Rehabilitation Physician

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 67188 (WI)

Other Physical Medicine & Rehabilitation providers in Wisconsin →

Registry record

NPI: 1720499759
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 May 2014
Record last updated: 21 Apr 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.