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Dr. Octavia Manetta Cannon, DO
Obstetrics & Gynecology Physician in East Lansing, Michigan
NPI 1497734701

Octavia Manetta Cannon is a Obstetrics & Gynecology Physician based in East Lansing, MI. Octavia Manetta Cannon practices in East Lansing, MI and has the professional credentials of DO. The NPI Number for Octavia Manetta Cannon is 1497734701 and holds a License No. 9900020 (Michigan).

The current practice location address for Octavia Manetta Cannon is 1560 Turf Ln, East Lansing, MI and can be reached out via phone at 517-484-3000.

Location: 1560 Turf Ln, East Lansing, MI, 48823-6392
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497734701
Provider Name
Octavia Manetta Cannon
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1560 Turf Ln, East Lansing, MI, 48823-6392
Phone Number
517-484-3000
Fax Number
Provider Enumeration Date
01/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5101012864 01 MI MICHIGAN PHYSICIAN LICENSE
891197H 05 NC
institution
Provider Business Practice Location Address Details
Address
1560 Turf Ln
City
East Lansing
State
Michigan
Zip
48823-6392
Phone Number
517-484-3000
Fax Number
person
Provider Business Mailing Address Details
Address
1560 Turf Ln
City
East Lansing
State
Michigan
Zip
48823-6392
Phone Number
517-484-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
99-00020 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
9900020 (North Carolina)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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