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

Michael W Clisham DPM

Organization Foot & Ankle Surgery Podiatrist · NPI 1619141462

Michael W Clisham DPM is a Foot & Ankle Surgery Podiatrist in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2008.

Licensed in
MD
In the registry since
2008

Practice location Address checks out

6304 Kenwood Ave 3
Baltimore, MD 21237
Phone: (443) 460-0127
Fax: (410) 866-6610
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 00506 (MD)

Record details

NPI number1619141462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Clisham — Podiatrist · (443) 460-0127
NPI enumeratedApril 14, 2008
Last updated in NPPESJune 6, 2008
Mailing address6304 Kenwood Ave, 3, Baltimore, MD 21237

Other providers in Baltimore