Provider Demographics
NPI:1801050729
Name:SCHILDCROUT, ABIGAIL LIPSHUTZ (MD)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:LIPSHUTZ
Last Name:SCHILDCROUT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7430 2ND AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-2705
Mailing Address - Country:US
Mailing Address - Phone:313-590-9125
Mailing Address - Fax:
Practice Address - Street 1:7430 2ND AVE STE 210
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48202-2705
Practice Address - Country:US
Practice Address - Phone:313-590-9125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301070111207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine