| Street | Generala Stefana Grota-Roweckiego 8 | ||
| City/Town | Walbrzych | ||
| State/Province/Region | Walbrzych | ||
| Zip/Postal Code | 58-309 | ||
| Phone Number | 502 390 240 | ||
| Country | Poland |
| Full Name | dr Wojciech Wilk | ||
| Gender | male | ||
| Birthday | 1973-07-15 | ||
| Social Security Number | 98121309254 |
| Credit card brand | Mastercard | ||
| Credit card number | 5218251226588503 | ||
| Expire | 2031/8 | ||
| CVV | 113 |