Dr Michael Clisham, DPM - Podiatrist in Baltimore, MD

Dr Michael Clisham, DPM is a Podiatrist - Foot & Ankle Surgery based in Baltimore, Maryland. Dr Michael Clisham is licensed to practice in Maryland (license number 00506) and his current practice location is 6304 Kenwood Ave, 3, Baltimore, Maryland. He can be reached at his office (for appointments etc.) via phone at (443) 460-0127.

NPI number for Dr Michael Clisham is 1366546749 and his current mailing address is 4100 Chardel Rd Apt A, Nottingham, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366546749.

Contact Information

Dr Michael Clisham, DPM
6304 Kenwood Ave, 3,
Baltimore, MD 21237-2002
(443) 460-0127
Not Available



Healthcare Provider's Profile

Full NameDr Michael Clisham
GenderMale
SpecialityPodiatrist - Foot & Ankle Surgery
Location6304 Kenwood Ave, Baltimore, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1366546749
  • Provider Enumeration Date: 09/07/2006
  • Last Update Date: 06/04/2008

Medical Identifiers

Medical identifiers for Dr Michael Clisham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366546749NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 00506 (Maryland)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael Clisham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael Clisham, DPM
4100 Chardel Rd Apt A,
Nottingham, MD 21236-5457

Ph: (410) 931-0726
Dr Michael Clisham, DPM
6304 Kenwood Ave, 3,
Baltimore, MD 21237-2002

Ph: (443) 460-0127

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