Individual provider · Type 1 NPI

Emily L. Wickersham, DO

Anatomic Pathology & Clinical Pathology Physician · Bolivar, MO

NPI number 1093175358 Active

Practice location

1500 N Oakland Ave
Bolivar, MO 65613-3099

Call (417) 326-6000 Map

Mailing address

19135 Pawnee Ct
St. Joseph, MO 64505-8901

Other practice locations

  • 1 Kish Hospital Dr, Dekalb, IL 60115-9602 · (815) 756-1521

Specialties and licenses

TaxonomyCodeLicense
Anatomic Pathology & Clinical Pathology Physician Primary 207ZP0102X2024028249 (MO)
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X036.177695 (IL)

Anatomic Pathology & Clinical Pathology Physician: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, ex…

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About NPI 1093175358

Emily L. Wickersham, DO's National Provider Identifier is 1093175358, issued on Feb 29, 2016. The primary taxonomy on file is Anatomic Pathology & Clinical Pathology Physician (207ZP0102X), and the practice location is in Bolivar, MO. The record was last updated on Aug 14, 2026.