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1366546749
MICHAEL CLISHAM
BALTIMORE, MD
NPI
1366546749
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: MD 00506)
Enumeration Date
2006-09-07
Last Update Date
2008-06-04
Business Address
Dr. MICHAEL CLISHAM DPM
6304 KENWOOD AVE 3
BALTIMORE, MD 21237-2002
Phone number: 443-460-0127
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Mailing Address
Dr. MICHAEL CLISHAM DPM
4100 CHARDEL RD APT A
NOTTINGHAM, MD 21236-5457
Phone number: 410-931-0726
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