Search › Oklahoma › 207Q00000X
Elizabeth Wickersham, M.D
NPI 1992706048 · on the registry since 2005 · sole proprietor
Practice
- Address
- 4345 W Memorial Rd
Suite 110
Oklahoma City, OK 73134 - Phone
- (405) 418-7000
- Fax
- (405) 418-7099
- Organisation at this address
- Mercy Care Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Additional practice sites
- 13920 Quailbrook Dr, Oklahoma City, OK
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 207QH0002X
208VP0000X - Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-25
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 Oklahoma