Search › Missouri › 207ZP0102X
Emily Wickersham, DO
NPI 1093175358 · on the registry since 2016
Practice
- Address
- 1500 N Oakland Ave
Bolivar, MO 65613 - Phone
- (417) 326-6000
- Organisation at this address
- Parkview Anesthesia
Polk County Radiology Llc
Oakland Emergency Group Llc
Citizens Memorial Healthcare
Citizens Memorial HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 79
Additional practice sites
- 1 Kish Hospital Dr, Dekalb, IL
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 207ZP0102X
- Licence states on file
- MO, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri