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Allison Staub, DO — NPI 1083104236, St Louis Park, MN | NPI Central

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Allison Staub, DO

NPI 1083104236 · Dermatology Physician · St Louis Park, MN

Provider details

NPI number: 1083104236
Entity type: Individual
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Female
Sole proprietor: No
License: 69604 (MN)

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000XLicense 69604 (MN)
Allopathic & Osteopathic Physicians
Internal Medicine Physician207R00000XLicense 69604 (MN)
Allopathic & Osteopathic Physicians

Practice location

3800 Park Nicollet Blvd

St Louis Park, MN 55416-2527

Phone: (952) 993-3376

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

8170 33rd Ave S # Ms 21110q

Bloomington, MN 55425-4516

Additional practice locations (1)

701 Park Avenue
Minneapolis, MN 55415-1623
Phone: (612) 873-4733

Registry dates

Enumerated: 2018-05-14
Last updated: 2025-08-29
Certified: 2025-08-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.