# NORTHERN PINES ORTHOPAEDIC CLINIC, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508846619
- **Authorized official:** DR. DANIEL L BAKER M.D. (C.E.O.)
- **Authorized official phone:** (218) 326-8749

## Contact information

- **Practice address:** 111 GOLF COURSE RD, STE 1, GRAND RAPIDS, MN 55744-3526
- **Practice address phone:** (218) 326-8749
- **Practice address fax:** (218) 326-0400
- **Mailing address:** 111 GOLF COURSE RD, STE 1, GRAND RAPIDS, MN 55744-3526
- **Mailing address phone:** (218) 326-8749
- **Mailing address fax:** (218) 326-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | MN | Yes |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 09/20/2012