DR. Octavia Manetta Cannon, D.O.

NPI #1497734701 in East Lansing, Michigan

Provider Information

NPI Number: 1497734701
Entity Type: Individual
Name: DR. Octavia Manetta Cannon, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: D.O.
Enumeration Date: Jan 13, 2006
Last Updated: Sep 2, 2021

Practice Location

Address: 1560 TURF LN
City: East Lansing
State: Michigan
ZIP Code: 48823-6392
Phone: (517) 484-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Obstetrics & Gynecology	207V00000X

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