| Street | 10523 Chillicothe Rd | ||
| City/Town | Willoughby | ||
| State/Province/Region | Ohio | ||
| Zip/Postal Code | 44094 | ||
| Phone Number | (440) 256-3777 | ||
| Country | United States |
| Full Name | Brad Bartell MD | ||
| Gender | male | ||
| Birthday | 1981-01-18 | ||
| Social Security Number | 530-99-5464 |
| Credit card brand | EnRoute | ||
| Credit card number | 2014075437886536 | ||
| Expire | 2030/1 | ||
| CVV | 524 |