Emily Louise Wickersham, DO
Emily Louise Wickersham, DO is a Pathology in Bolivar, Missouri. Qualified in 2020, 6 years ago. Practices with Citizens Memorial Hospital District, a 48-clinician group and accepts Medicare assignment. Licensed in Illinois and Missouri.
- Years since qualifying
- 6
- Licensed in
- IL, MO
- In the registry since
- 2016
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
1500 N Oakland AveBolivar, MO 65613-3099
Phone: (417) 326-6000
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence 2024028249 (MO) |
|---|---|
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X · Licence 036.177695 (IL) |
Record details
| NPI number | 1093175358 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | February 29, 2016 |
| Last updated in NPPES | January 15, 2026 |
| Certification date | January 15, 2026 |
Medicare enrollment
| Medicare specialty | PATHOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Citizens Memorial Hospital District — 48 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |