IndividualActive
Ryan Clark, D.O.
NPI 1720499759 · Interventional Pain Medicine Physician · Green Bay, WI
Provider details
- NPI number
- 1720499759
- Entity type
- Individual
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 67188 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8377
Fax: (920) 288-8385
Approximate (ZIP-level) locationGet directions
Mailing address
1035 Kepler Dr
Green Bay, WI 54311-8320
Registry dates
- Enumerated
- 2014-05-13
- Last updated
- 2026-04-21
- Certified
- 2026-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.