Michael W Clisham Dpm in Baltimore - Foot & Ankle Surgery
Michael W Clisham Dpm - NPI 1619141462
Michael W Clisham Dpm is a Foot & Ankle Surgery in Baltimore, Maryland. Michael W Clisham Dpm practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Michael W Clisham Dpm is 1619141462. The last update date is 2008-06-06.
Michael W Clisham Dpm's current location address is 6304 Kenwood Ave, Baltimore, Maryland. You can contact this provider via phone number 4434600127 and fax number 4108666610. The mailing address for Michael W Clisham Dpm is 6304 Kenwood Ave, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael W Clisham Dpm |
|---|---|
| Address | 6304 Kenwood Ave, Baltimore, Maryland |
| Phone Number | 4434600127 |
| Fax Number | 4108666610 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PODIATRIST |
|---|---|
| Authorized Official Name | Clisham William Michael |
| Credentials | DPM |
| Telephone Number | 4434600127 |
NPI Number Detail
| NPI Number | 1619141462 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 6304 Kenwood Ave |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 21237 |
| Phone Number | 4434600127 |
| Fax Number | 4108666610 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 506 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 786108700 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Michael W Clisham Dpm by the Centers for Medicare & Medicaid Services?
The Michael W Clisham Dpm has been assigned the NPI (National Provider Identifier) 1619141462 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Michael W Clisham Dpm is located?
The Michael W Clisham Dpm is situated at the following address: 6304 Kenwood Ave, Baltimore, MD, 21237.
What is Michael W Clisham Dpm's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael W Clisham Dpm's specialized field of practice is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 213Es0103X.
When did the Michael W Clisham Dpm receive its 1619141462?
The Michael W Clisham Dpm was issued its 1619141462 on 2008-04-14, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Michael W Clisham Dpm most recently updated or revised?
The details related to Michael W Clisham Dpm, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-06.
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