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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH A WICKERSHAM, M.D.

Active Sole Proprietor

ELIZABETH A WICKERSHAM, M.D. is a Family Medicine healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1992706048 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · OKLAHOMA CITY, OK

Registration Details

NPI Number
1992706048
Provider Type
Individual
Gender
Female
NPI Issued
Aug 10, 2005 (21.038280493911 yrs)
Last Updated
Oct 25, 2023
Licenses
20273 (OK)
20273 (OK)
20273 (OK)
Sole Proprietor
Yes

Practice Information

Address
4345 W MEMORIAL RD
SUITE 110
OKLAHOMA CITY, OK, 731341702
Browse OK providers · Browse ZIP 73134
Phone
4054187000
Fax
4054187099
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Vascular Surgery
Additional Specialty
Family Medicine

Other Family Medicine Providers in OKLAHOMA CITY, OK

Name Credential NPI
DR. CYNTHIA M BRENNAN M.D. 1013910264
ALEXA G WOODSON MD 1720082266
REBECCA LYNN BARRETT MD 1194720359
DR. CARL PATRICK GRIFFIN M.D. 1003813825
RONALD R. HOPKINS DO 1144228784
DANIEL CLAYTON CLINKENBEARD MD 1629076963
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.