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Contact Information

RYAN W CLARK, D.O.
2845 GREENBRIER RD
GREEN BAY, WI54311-6519
 Phone: 920-288-8377
 Fax: 920-288-8385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for RYAN W CLARK · (Male)

NPI # 1720499759
Status Active
Credentials D.O. (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/13/2014
Last updated 04/21/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • WI License # 67188
  • WI Medicaid 100068648
Hospital affiliation(s)
  • AURORA BAYCARE MED CTR - (Acute Care)
    2845 GREENBRIER RD
    GREEN BAY, WI 54311
  • MINISTRY DOOR COUNTY MEDICAL CENTER - (Critical Access)
    323 SOUTH 18TH AVENUE
    STURGEON BAY, WI 54235
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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