institution
Michael W Clisham Dpm
Foot & Ankle Surgery Podiatrist in Baltimore, Maryland
NPI 1619141462

Michael W Clisham Dpm is a Foot & Ankle Surgery Podiatrist based in Baltimore, MD and is specialized in Foot & Ankle Surgery. Michael W Clisham Dpm practices in Baltimore, MD. The NPI Number for Michael W Clisham Dpm is 1619141462 and holds a License No. 00506 (Maryland).

The current practice location address for Michael W Clisham Dpm is 6304 Kenwood Ave, Baltimore, MD and can be reached out via phone at 443-460-0127 and via fax at 410-866-6610.

Location: 6304 Kenwood Ave, Baltimore, MD, 21237
institution
Provider Profile Details
NPI Number
1619141462
Provider Name
Michael W Clisham Dpm
Credential
Provider Entity Type
Organization
Address
6304 Kenwood Ave, Baltimore, MD, 21237
Phone Number
443-460-0127
Fax Number
410-866-6610
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
786108700 05 MD
institution
Provider Business Practice Location Address Details
Address
6304 Kenwood Ave
City
State
Zip
21237
Phone Number
443-460-0127
Fax Number
410-866-6610
person
Provider Business Mailing Address Details
Address
6304 Kenwood Ave
City
State
Zip
21237
Phone Number
443-460-0127
Fax Number
410-866-6610
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
00506 (Maryland)
Definition
Definition to come...
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