Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northern Pines Orthopaedic Clinic, PA

Organization Orthopaedic Surgery Physician · NPI 1508846619

Northern Pines Orthopaedic Clinic, PA is an Orthopaedic Surgery Physician in Grand Rapids, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Golf Course Rd Ste 1
Grand Rapids, MN 55744-3526
Phone: (218) 326-8749
Fax: (218) 326-0400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X (MN)

Record details

NPI number1508846619
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Baker — C.E.O. · (218) 326-8749
NPI enumeratedJanuary 17, 2006
Last updated in NPPESSeptember 20, 2012
Mailing address111 Golf Course Rd, Ste 1, Grand Rapids, MN 55744-3526

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