Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GWEN ELISE WAGSTROM HALAAS, M.D.
ActiveDR. GWEN ELISE WAGSTROM HALAAS, M.D. is a Family Medicine healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1588696900 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1588696900
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2006 (20.106716991314 yrs)
- Last Updated
- Jul 9, 2007
- License
-
27862 (MN)
Practice Information
- Address
-
UFP SMILEY'S CLINIC2615 EAST FRANKLIN AVENUEMINNEAPOLIS, MN, 55406Browse MN providers · Browse ZIP 55406
- Phone
- 6123330770
- Fax
- 6123330475
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MINNEAPOLIS, MN
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICK MICHAEL ROCK | M.D. | 1235134354 |
| DR. MITCHELL J LACOMBE | M.D. | 1336144179 |
| DR. SPENCER ALLAN JOHNSON | MD | 1881692549 |
| KRISTEN O HANSBERRY | MD | 1215936216 |
| GREGORY M AMER | MD | 1033111018 |
| LAWRENCE G MULHERN | MD | 1295737278 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.