Provider Demographics
NPI:1548223001
Name:BLIVEN, CHRISTINE ANN MORRISON (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANN MORRISON
Last Name:BLIVEN
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 1:3600 MINNESOTA DR STE 800
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-7915
Mailing Address - Country:US
Mailing Address - Phone:952-595-1100
Mailing Address - Fax:612-294-4903
Practice Address - Street 1:3600 MINNESOTA DR STE 800
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-7915
Practice Address - Country:US
Practice Address - Phone:952-595-1100
Practice Address - Fax:612-294-4903
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO385042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE84059792913Medicaid
NE84089712600Medicaid
AZ479839Medicaid
KS200632660AMedicaid
WY1548223001Medicaid
CO841360845OtherCOMMERCIAL
NM31037551Medicaid
MT1548223001Medicaid
CO40830233Medicaid
WY1548223001Medicaid
MT1548223001Medicaid
NE84059792913Medicaid
NM31037551Medicaid