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Dr. Gwen Elise Wagstrom Halaas, MD
Family Medicine Physician in Minneapolis, Minnesota
NPI 1588696900

Gwen Elise Wagstrom Halaas is a Family Medicine Physician based in Minneapolis, MN. Gwen Elise Wagstrom Halaas practices in Minneapolis, MN and has the professional credentials of MD. The NPI Number for Gwen Elise Wagstrom Halaas is 1588696900 and holds a License No. 27862 (Minnesota).

The current practice location address for Gwen Elise Wagstrom Halaas is Ufp Smiley's Clinic, Minneapolis, MN and can be reached out via phone at 612-333-0770 and via fax at 612-333-0475.

Location: Ufp Smiley's Clinic, Minneapolis, MN, 55406
person
Provider Profile Details
NPI Number
1588696900
Provider Name
Gwen Elise Wagstrom Halaas
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
Ufp Smiley's Clinic, Minneapolis, MN, 55406
Phone Number
612-333-0770
Fax Number
612-333-0475
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0069904 05 MT
2057381 01 MN ARAZ
HP10534 01 MN HEALTHPARTNERS
100518 01 MN UCARE
428R9HA 01 MN BCBS
1000627 01 MN PREFERRED ONE
01-08658 01 MN MEDICA CHOICE & PRIMARY
institution
Provider Business Practice Location Address Details
Address
Ufp Smiley's Clinic
City
State
Zip
55406
Phone Number
612-333-0770
Fax Number
612-333-0475
person
Provider Business Mailing Address Details
Address
Ufp Smiley's Clinic
City
State
Zip
55406
Phone Number
612-333-0770
Fax Number
612-333-0475
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
27862 (Minnesota)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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