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Individual
DR. ROGER SEBASTIAN SHINNERL
Active
Individual
DR. ROGER SEBASTIAN SHINNERL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
01063822A
IN
2086S0129X
Vascular Surgery Physician
Primary
036166938
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001666778
BCBS
IN
01
—
01063822A
STATE LICENSE
IN
01
—
01063822B
STATE CSR
IN
05
—
300063165
—
IN
05
—
7100035620
—
KY
Enumeration date
06/01/2007
Last updated
09/29/2026
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