Department of Safety and Professional Services
Board of Medical Practice
Nathalie Massicotte
Medical - Physician And Surgeon
License number
45053
Date granted
09/14/2002
Date expires
08/31/2003
Class
Medical - Physician And Surgeon
Status
Canceled
Address
27733 600 St., Mantorville, MN 55955E1
doctorsminnesota.org
ID 22253376
LAST UPDATED 2026-05-21 23:04:30 UTC
LAST UPDATED 2026-05-21 23:04:30 UTC
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