Individual
GRANT GILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5200 CENTRE AVE, SHADYSIDE MEDICAL CENTER, SUITE 211, PITTSBURGH, PA 15232-1300
(412) 621-0123
Mailing address
5200 CENTRE AVE, SHADYSIDE MEDICAL CENTER, SUITE 211, PITTSBURGH, PA 15232-1300
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD066738L
PA
207Y00000X
Otolaryngology Physician
Primary
MD066738L
PA
Other
Enumeration date
02/09/2006
Last updated
01/23/2026
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