Provider Demographics
NPI:1104968650
Name:BLIX, ULLA MARIA ELISABET (MD, PHD)
Entity type:Individual
Prefix:
First Name:ULLA MARIA
Middle Name:ELISABET
Last Name:BLIX
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:ULLA MARIA
Other - Middle Name:ELISABET
Other - Last Name:NYSTROM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:200 LOTHROP ST
Mailing Address - Street 2:FORBES TOWER SUITE 9055
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-647-3087
Mailing Address - Fax:412-647-4486
Practice Address - Street 1:200 LOTHROP ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-647-3260
Practice Address - Fax:412-647-0342
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2011-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430451207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology