Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michael Koroch, PA-C, ATC

Individual provider Athletic Trainer · NPI 1508000357

Michael Koroch, PA-C, ATC is an Athletic Trainer in Wausau, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone: (715) 847-2121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2050 4th Ave, Stevens Point, WI 54481-1910 — (715) 346-4570

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4106-23 (WI)
Athletic Trainer Taxonomy 2255A2300X · Licence 995-039 (WI)

Record details

NPI number1508000357
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , ATC
Sole proprietorNo
NPI enumeratedApril 23, 2009
Last updated in NPPESJuly 21, 2022

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