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Karen R. James York, orthopaedic surgeon, who specializes in reconstructive shoulder, knee, total joint, and cartilage transplant surgery and subspecialty in orthopaedic sports medicine. Karen received her undergraduate degree with academic honors graduating cum laude in dual major in Art History and English at State University of New York at Stony Brook as well as receiving six semesters under national deans list. Karen had several years of health care experience working in a cardiac hospital in New York. During her clinical training, she was selected to train with medical students and residents in hospital based clinical rotations which included a stipend. Karen is a member of the American Academy of Physician Assistants.

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Hygienists & Assistants

Jennifer Spicer, MA | Physician Assistants | Phoenix, AZ | CTCA

Maureen has been a hygienist with Dr. Siman for 22 years. She studied locally at Marygrove College and abroad in Scotland. Maureen teaches at Marygrove College and practices Dental Hygiene. She resides in Redford. In her free time, she is an avid Red Wings fan and thoroughly enjoys spending time with her family.
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Our Providers

MA, PA-C. CTCA supports health care providers doing everything they can for their patients. After earning her Bachelor of Science degree at the University of Minnesota-Duluth, Spicer turned her focus to becoming a physician assistant. She also holds a Master of Arts degree in Bioethics.
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Ishwar Gopichand is certified by the American Board of Pediatrics and has over 22 years of clinical and medical field experience. He then continued his learning at the College of Medicine at the University of the Philippines where earned his Doctorate of Medicine. He has provided several lectures for the Cleveland Clinic Foundation research in pediatrics throughout the nation. Gopichand serves as a physician member for the Onslow County Board of Health. He is licensed by the North Carolina Board of Medicine.
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