Individual
ALLISON M STAUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3800 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3376
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
69604
MN
207R00000X
Internal Medicine Physician
69604
MN
Other
Enumeration date
05/14/2018
Last updated
08/29/2025
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