Healthcare Provider Details

I. General information

NPI: 1356277842
Provider Name (Legal Business Name): MAXLIVING WIXOM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29680 S WIXOM RD
WIXOM MI
48393-3430
US

IV. Provider business mailing address

29680 S WIXOM RD
WIXOM MI
48393-3430
US

V. Phone/Fax

Practice location:
  • Phone: 248-892-7246
  • Fax:
Mailing address:
  • Phone: 248-892-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW MCNABB
Title or Position: OWNER
Credential: DC
Phone: 248-892-7246