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

Ryan William Clark, DO

Individual provider Pain Medicine Physician · NPI 1720499759

Ryan William Clark, DO is an Interventional Pain Management in Green Bay, Wisconsin. Graduated from Western University of Health Sciences College of Dental Med in 2013, 13 years ago. Practices with Baycare Clinic LLP, a 196-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
13
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
WI
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8377
Fax: (920) 288-8385
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence 67188 (WI)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 67188 (WI)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 67188 (WI)

Record details

NPI number1720499759
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 13, 2014
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026
Mailing address1035 Kepler Dr, Green Bay, WI 54311-8320

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL PAIN MANAGEMENT
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 2013 (13 years in practice)
Group practice Baycare Clinic Llp — 196 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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