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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RYAN WILLIAM CLARK, D.O.

Active

RYAN WILLIAM CLARK, D.O. is a Interventional Vascular Surgery healthcare provider located in GREEN BAY, Wisconsin. NPI 1720499759 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · GREEN BAY, WI

Registration Details

NPI Number
1720499759
Provider Type
Individual
Gender
Male
NPI Issued
May 13, 2014 (12.264824777442 yrs)
Last Updated
May 25, 2023
Licenses
67188 (WI)
67188 (WI)
67188 (WI)

Practice Information

Address
2845 GREENBRIER RD
GREEN BAY, WI, 543116519
Browse WI providers · Browse ZIP 54311
Phone
9202888377
Fax
9202888385
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Additional Specialty
Vascular Surgery

Other Interventional Vascular Surgery Providers in GREEN BAY, WI

Name Credential NPI
DR. AMY C. YEATMAN D.O. 1700869468
AHMET DERVISH MD 1104854462
DR. CHRISTOPHER E HOWSON M.D. 1508129826
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.