Individual provider · Type 1 NPI

Ryan William Clark, DO

Interventional Pain Medicine Physician · Green Bay, WI

NPI number 1720499759 Active

Practice location

2845 Greenbrier Rd
Green Bay, WI 54311-6519

Call (920) 288-8377 Map

Fax (920) 288-8385

Mailing address

1035 Kepler Dr
Green Bay, WI 54311-8320

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine Physician 208VP0000X67188 (WI)
Physical Medicine & Rehabilitation Physician 208100000X67188 (WI)
Interventional Pain Medicine Physician Primary 208VP0014X67188 (WI)

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1720499759

Ryan William Clark, DO's National Provider Identifier is 1720499759, issued on May 13, 2014. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Green Bay, WI. The record was last updated on Apr 21, 2026.