Maclane Wilson

NPI 1417812900 · on the registry since 2025

Practice

Address: 5055 Highway N Ste 108
Cottleville, MO 63304
Phone: (636) 706-6171
Organisation at this address: Bunge Spine & Performance, Llc
Ask Dr H Healthy Solutions Llc
Tross Elite Golf Performance And Wellness Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri