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

Dr. Michael K Ryan, MD

Individual provider Orthopaedic Surgery Physician · NPI 1124314612

Dr. Michael K Ryan, MD is an Orthopedic Surgery in Green Bay, Wisconsin. Qualified in 2011, 15 years ago. Licensed in Alabama and Wisconsin.

Years since qualifying
15
Licensed in
AL, WI
In the registry since
2011
Specialties on file
2
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

1726 Shawano Ave
Green Bay, WI 54303-3216
Phone: (920) 496-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 998-320 (WI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD.35098 (AL)

Record details

NPI number1124314612
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2011
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing addressPo Box 19070, Green Bay, WI 54307-9070

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Also practisesSPORTS MEDICINE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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