MEDICARE: NORTHERN PINES ORTHOPAEDIC CLINIC, P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician		MN

General Provider Information

NPI Number	:	1508846619
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN PINES ORTHOPAEDIC CLINIC, P.A.

Provider Business Mailing Address
First Line	:	111 GOLF COURSE RD
Second Line	:	STE 1
City	:	GRAND RAPIDS
State	:	MN
Zip	:	55744-3526
Country	:	US
Telephone Number	:	218-326-8749
Fax Number	:	218-326-0400

Provider Business Practice Location Address
First Line	:	111 GOLF COURSE RD
Second Line	:	STE 1
City	:	GRAND RAPIDS
State	:	MN
Zip	:	55744-3526
Country	:	US
Telephone Number	:	218-326-8749
Fax Number	:	218-326-0400

Authorized Official
Title or Position	:	C.E.O.
Name	:	DR. DANIEL L BAKER
Credential	:	M.D.
Telephone Number	:	218-326-8749

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	09/20/2012

Similar Medicare Providers

1396745576 — DR. PAUL NORMAN OLSON M.D.
Practice Location Address:

111 GOLF COURSE RD
GRAND RAPIDS, MN
55744-3526

Practice Phone: 218-326-6677
Practice Fax:

1144290958 — DR. DANIEL L BAKER M.D.
Practice Location Address:

111 GOLF COURSE RD , STE 1
GRAND RAPIDS, MN
55744-3526

Practice Phone: 218-326-8749
Practice Fax: 218-326-0400

1902875040 — MR. DONALD M CARLSON PT
Practice Location Address:

111 GOLF COURSE RD
GRAND RAPIDS, MN
55744-3526

Practice Phone: 218-327-7257
Practice Fax: 218-327-1585

1831268978 — RADTKE PHYSICAL THERAPY LIMITED PARTNERSHIP
Practice Location Address:

111 GOLF COURSE RD , SUITE 2
GRAND RAPIDS, MN
55744-3526

Practice Phone: 218-327-7257
Practice Fax: 218-327-1585

1811313612 — ALANS PHYSICAL THERAPY OF GRAND RAPIDS
Practice Location Address:

111 GOLF COURSE RD , SUITE 2
GRAND RAPIDS, MN
55744-3526

Practice Phone: 218-999-5554
Practice Fax: 218-999-7620

1124427414 — NORTHERN PINES ORTHOPAEDIC CENTER, LLC
Practice Location Address:

111 GOLF COURSE RD , SUITE 3
GRAND RAPIDS, MN
55744-3526

Practice Phone: 218-326-6677
Practice Fax: 218-326-0400

Directions to “NORTHERN PINES ORTHOPAEDIC CLINIC, P.A. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.