Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maclane Wilson

Individual provider Chiropractor · NPI 1417812900

Maclane Wilson is a Chiropractic in Cottleville, Missouri. Qualified in 2025, 1 year ago. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025

Practice location Address checks out

5055 Hwy N Ste 108
Cottleville, MO 63304-8031
Phone: (636) 706-6171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 2025052400 (MO)

Record details

NPI number1417812900
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 17, 2025
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address5055 Highway N Ste 108, Cottleville, MO 63304-8031

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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