Organization
JOHNSON CREEK ASC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARON VAN PELT CPA (CFO)
(262) 303-5013
Entity
Organization
Contact information
Practice address
350 HARTWIG BLVD, JOHNSON CREEK, WI 53038
(262) 303-5055
Mailing address
N15W28300 GOLF RD, PEWAUKEE, WI 53072-4800
(262) 303-5013
(262) 303-5057
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2025
Last updated
04/24/2026
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