Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gwen Elise Wagstrom Halaas, MD

Individual provider Family Medicine Physician · NPI 1588696900

Dr. Gwen Elise Wagstrom Halaas, MD is a Family Medicine Physician in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Ufp Smiley's Clinic 2615 East Franklin Ave
Minneapolis, MN 55406
Phone: (612) 333-0770
Fax: (612) 333-0475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27862 (MN)

Record details

NPI number1588696900
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJuly 9, 2007

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