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1588696900
GWEN ELISE WAGSTROM HALAAS
MINNEAPOLIS, MN
NPI
1588696900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 27862)
Enumeration Date
2006-07-07
Last Update Date
2007-07-09
Business Address
Dr. GWEN ELISE WAGSTROM HALAAS M.D.
UFP SMILEY'S CLINIC 2615 EAST FRANKLIN AVENUE
MINNEAPOLIS, MN 55406
Phone number: 612-333-0770
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Mailing Address
Dr. GWEN ELISE WAGSTROM HALAAS M.D.
UFP SMILEY'S CLINIC 2615 EAST FRANKLIN AVENUE
MINNEAPOLIS, MN 55406
Phone number: 612-333-0770
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