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

Dr. Michael Clisham, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1366546749

Dr. Michael Clisham, DPM is a Foot & Ankle Surgery Podiatrist in Baltimore, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

6304 Kenwood Ave 3
Baltimore, MD 21237-2002
Phone: (443) 460-0127
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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 number1366546749
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorYes
NPI enumeratedSeptember 7, 2006
Last updated in NPPESJune 4, 2008
Mailing address4100 Chardel Rd Apt A, Nottingham, MD 21236-5457

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