Healthcare Provider Details

I. General information

NPI: 1609411339
Provider Name (Legal Business Name): JOHN DUANE FRANTZ HEARING AID DISPENSE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2019
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4598 PLAINFIELD AVE NE
GRAND RAPIDS MI
49525-1645
US

IV. Provider business mailing address

616 E NORTH ST
HASTINGS MI
49058-8613
US

V. Phone/Fax

Practice location:
  • Phone: 616-364-0090
  • Fax:
Mailing address:
  • Phone: 616-293-1062
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number3501013979
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: