# JOHNSON CREEK ASC LLC

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

## Provider details

- **NPI number:** 1831059666
- **Authorized official:** ARON VAN PELT CPA (CFO)
- **Authorized official phone:** (262) 303-5013

## Contact information

- **Practice address:** 350 HARTWIG BLVD, JOHNSON CREEK, WI 53038
- **Practice address phone:** (262) 303-5055
- **Mailing address:** N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
- **Mailing address phone:** (262) 303-5013
- **Mailing address fax:** (262) 303-5057

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/14/2025
- **Last updated:** 04/24/2026