NPI 1083104236

Allison M Staub, DO

Practitioner Dermatology Physician St Louis Park, MN

Practice location

Address: 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527
Phone: (952) 993-3376
Mailing address: 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 69604 (MN)

Other Dermatology providers in Minnesota →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 69604 (MN)

Other Internal Medicine providers in Minnesota →

Registry record

NPI: 1083104236
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 May 2018
Record last updated: 29 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.