Individual
MACLANE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5055 HIGHWAY N STE 108, COTTLEVILLE, MO 63304-8031
(636) 706-6171
Mailing address
5055 HIGHWAY N STE 108, COTTLEVILLE, MO 63304-8031
(636) 706-6171
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2025052400
MO
Other
Enumeration date
12/17/2025
Last updated
01/14/2026
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