DR. GWEN ELISE WAGSTROM HALAAS M.D.
NPI 1588696900
Family Medicine in Minneapolis, MN

Active since July 07, 2006
UFP SMILEY'S CLINIC, 2615 EAST FRANKLIN AVENUE, MINNEAPOLIS, MN 55406(612) 333-0770(612) 333-0475 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Gwen Elise Wagstrom Halaas M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GWEN ELISE WAGSTROM HALAAS M.D. (NPI 1588696900) is an individual family medicine provider in Minneapolis, Minnesota, licensed in Minnesota (27862) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1588696900
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GWEN ELISE WAGSTROM HALAASCredential: M.D.
Location AddressUFP SMILEY'S CLINIC, 2615 EAST FRANKLIN AVENUEMinneapolis, MN 55406
Mailing AddressUfp Smiley's Clinic, 2615 East Franklin AvenueMinneapolis, MN 55406 · (612) 333-0770 · Fax (612) 333-0475
Fax(612) 333-0475
Sole ProprietorNo
Enumeration DateJuly 7, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1588696900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 27862
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.
UFP SMILEY'S CLINIC, Minneapolis, MN 55406

Other Identifiers 8

Other428R9HAMN · Bcbs
Other100518MN · Ucare
Other1000627MN · Preferred One
Medicare UPIND81068MN
Other2057381MN · Araz
OtherHP10534MN · Healthpartners
Medicaid0069904MT
Other01-08658MN · Medica Choice & Primary

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gwen Halaas's NPI number?

The NPI number for Gwen Halaas is 1588696900. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Gwen Halaas located?

Gwen Halaas practices at Ufp Smiley's Clinic 2615 East Franklin Avenue, Minneapolis, MN 55406. The listed phone number is (612) 333-0770.

What is Gwen Halaas's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gwen Halaas was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.